Individual provider Active NPI

Kathleen Hogarty

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1740446186
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN266201 Issued in AZ
Practice address
15351 W Bell Rd
Surprise, AZ 85374-4580
Phone
(480) 964-2273
Fax
(623) 214-5214
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN266201 AZ Primary
Nurse Practitioner 363L00000X AP2588 AZ

Addresses

Primary practice location

15351 W Bell Rd
Surprise, AZ 85374-4580

Mailing address

5651 N 7TH St
Phoenix, AZ 85014-2500
Phone (602) 263-4274

Other practice location 1

5651 N 7th St
Phoenix, AZ 85014-2500
Phone (602) 263-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210903000332 AZ Practitioner - Certified Nurse Midwife (CNM) 8426454190 Reassigns benefits to 1 organization
I20231215000821 AZ Practitioner - Nurse Practitioner 8426454190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continence Center of America IncGroup PAC ID 6406834886, 3 clinicians
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

13000 N 103Rd Ave
Suite 73
Sun City, AZ 85351-3056
Phone (623) 977-1212

3033 N Central Ave
Suite 145
Phoenix, AZ 85012-2808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN266201AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare, Inc CurrentSince Oct 2, 2023 Accepting new patients
Continence Center of America Inc Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Adelante Healthcare, Inc CurrentSince Oct 2, 2023 Accepting new patients
Phoenix Wellness Center Past Accepting new patients
Phoenix Wellness Center LLC PastSince Aug 29, 2025 Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395

2830 E Brown Rd
Ste C12
Mesa, AZ 85213
Phone (623) 977-1212

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

13460 N 94th Dr
Ste M2
Peoria, AZ 85381

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487

3130 E Roosevelt St
Bldg C
Phoenix, AZ 85008
Phone (480) 904-7787

13000 N 103rd Ave
Ste 73
Sun City, AZ 85351
Phone (623) 972-7237

15351 W Bell Rd
Surprise, AZ 85374

15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

Organizations & group practices 6

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1740446186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142500",
            "telephone_number": "602-263-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15351 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744580",
            "telephone_number": "480-964-2273",
            "fax_number": "623-214-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5651 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142500",
            "country_code": "US",
            "telephone_number": "602-263-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGARTY",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "APRN266201",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP2588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.