Active NPI
Kelsey Ironside, CPNP-PC
- Pediatric Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1730975343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 322556
- Practice address
- 70 S Val Vista Dr Ste A3-187
Gilbert, AZ 85296-1374 - Phone
- (602) 206-7793
- NPI assigned
- Apr 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 322556 | AZ | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | RN195009 | AZ |
Addresses
Primary practice location
70 S Val Vista Dr Ste A3-187
Gilbert, AZ 85296-1374
Mailing address
70 S Val Vista Dr Ste A3-187
Gilbert, AZ 85296-1374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN195009 | AZ | MD | Lactation Consultant (Registered Nurse) |
| 322556 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pimri, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1730975343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S VAL VISTA DR STE A3-187",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 S VAL VISTA DR STE A3-187",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961374",
"telephone_number": "602-206-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRONSIDE",
"first_name": "KELSEY",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-18",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "322556",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "AZ",
"license": "RN195009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.