Individual provider Active NPI

Kathryn A Chojnacki, CPNP

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1720044969
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP7296 Issued in AZ
Practice address
4735 E Union Hills Dr
Phoenix, AZ 85050-3362
Phone
(602) 971-5121
Fax
(602) 971-3122
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2000160132 MO
Pediatric Nurse Practitioner 363LP0200X AP7296 AZ Primary

Addresses

Primary practice location

4735 E Union Hills Dr
Phoenix, AZ 85050-3362

Mailing address

4735 E Union Hills Dr
Phoenix, AZ 85050-3362
Phone (602) 971-5121

Other identifiers 3

IdentifierTypeStateIssuer
929431OtherAZAHCCCS
427237201MedicaidMO
200310940AMedicaidKS

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
I20141111000911 AZ Practitioner - Nurse Practitioner 8729016670 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2000160132MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Medical Group CurrentSince Aug 30, 2021 Accepting new patients
Phoenix Pediatrics LTD CurrentSince Nov 22, 2008 Accepting new patients
Phoenix Children'S Hospital Current Accepting new patients
TMC Medical Network CurrentSince Mar 11, 2018 Accepting new patients
North Scottsdale Pediatric Associates PastSince Sep 24, 2023 Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

4434 N 12th St
Phoenix, AZ 85014
Phone (602) 242-5121

4735 E Union Hills Dr
Phoenix, AZ 85050
Phone (602) 242-5121

1625 N Campbell Ave
Tucson, AZ 85719

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1720044969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 E UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503362",
            "telephone_number": "602-971-5121",
            "fax_number": "602-971-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 E UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503362",
            "telephone_number": "602-971-5121",
            "fax_number": "602-971-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOJNACKI",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2000160132",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP7296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "929431",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427237201",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.