Individual provider Active NPI

Kenya Louis

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1720891898
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
319486 Issued in AZ
Practice address
1311 E Bell Rd
Phoenix, AZ 85022-2724
Phone
(602) 594-5030
NPI assigned
Jan 30, 2025
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 319486 AZ Primary

Addresses

Primary practice location

1311 E Bell Rd
Phoenix, AZ 85022-2724

Mailing address

PO Box 96770
Phoenix, AZ 85072-6770
Phone (425) 243-3719

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html The Little Clinic of Arizona LLC

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
I20250219003122 AZ Practitioner - Nurse Practitioner 8820518939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Arizona LLCGroup PAC ID 4981797982, 43 clinicians

Practice addresses (Care Compare)

1300 S Watson Rd
Buckeye, AZ 85326-6303
Phone (623) 241-5322

13830 W Camelback Rd
Litchfield Park, AZ 85340-3072
Phone (623) 334-7745

1575 N Dysart Rd
Avondale, AZ 85392-1204
Phone (623) 687-9883

2724 S Signal Butte Rd
Mesa, AZ 85209-2104
Phone (480) 481-7210

2727 W Bell Rd
Phoenix, AZ 85053-3059
Phone (602) 680-2386

3100 N Glassford Hill Rd
Prescott Valley, AZ 86314-2285
Phone (928) 777-7820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319486AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Feb 24, 2025 Accepting new patients

Locations

1311 E Bell Rd
Phoenix, AZ 85022
Phone (602) 549-5040

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

Interoperability endpoints

  • Direct secure messaging: kenya.louis@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1720891898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96770",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726770",
            "telephone_number": "425-243-3719",
            "fax_number": "844-325-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222724",
            "telephone_number": "602-594-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "KENYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "319486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "The Little Clinic of Arizona LLC",
            "address_1": "1311 E Bell Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850222724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.