Individual provider Active NPI

Katy Dodt, FNP

  • Primary Care Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1710609128
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
282586 Issued in AZ
Practice address
21321 E Ocotillo Rd
Queen Creek, AZ 85142-5996
Phone
(480) 987-5525
Fax
(480) 987-5115
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 282586 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd
Queen Creek, AZ 85142-5996

Mailing address

21321 E Ocotillo Rd
Queen Creek, AZ 85142-5996
Phone (480) 987-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321002206 AZ Practitioner - Nurse Practitioner 9436523073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

21321 E Ocotillo Rd
Suite 133
Queen Creek, AZ 85142-5995
Phone (480) 987-5525

Hospital & facility affiliations

  • Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Mar 16, 2023 Accepting new patients
American Medical Associates, PLLC PastSince Sep 1, 2022 Accepting new patients

Locations

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

725 W Elliot Rd
Ste 105
Gilbert, AZ 85233
Phone (480) 963-6114

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

21321 E Ocotillo Rd
Ste 133
Queen Creek, AZ 85142
Phone (480) 900-7256

21321 E Ocotillo Rd
Ste 133134
Queen Creek, AZ 85142
Phone (480) 987-5525

8300 N Hayden Rd
Ste A207
Scottsdale, AZ 85258
Phone (480) 483-0002

5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1710609128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425996",
            "telephone_number": "480-987-5525",
            "fax_number": "480-987-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425996",
            "telephone_number": "480-987-5525",
            "fax_number": "480-987-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODT",
        "first_name": "KATY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "282586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.