Individual provider Active NPI

Lorraine Kempton, NP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1750521225
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP7901 Issued in AZ
Practice address
4545 E Chandler Blvd
Ste 305
Phoenix, AZ 85048-7643
Phone
(480) 785-7546
Fax
(480) 940-1760
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN131680 AZ
Adult Health Nurse Practitioner 363LA2200X AP7901 AZ Primary

Addresses

Primary practice location

4545 E Chandler Blvd
Ste 305
Phoenix, AZ 85048-7643

Mailing address

4545 E Chandler Blvd
Ste 305
Phoenix, AZ 85048-7643
Phone (480) 785-7546

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
I20151109001164 AZ Practitioner - Nurse Practitioner 4789994443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Premier Dermatology, LLCGroup PAC ID 2860518891, 2 clinicians

Practice addresses (Care Compare)

4545 E Chandler Blvd
305 Arizona Premier Dermatology
Phoenix, AZ 85048-7546
Phone (480) 785-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7901AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Premier Dermatology, LLC CurrentSince Oct 22, 2015 Accepting new patients

Locations

4545 E Chandler Blvd
Ste 3
Phoenix, AZ 85048
Phone (480) 785-7546

4545 E Chandler Blvd
Ste 305
Phoenix, AZ 85048
Phone (480) 785-7546

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1750521225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "address_2": "STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-785-7546",
            "fax_number": "480-940-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD",
            "address_2": "STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487643",
            "telephone_number": "480-785-7546",
            "fax_number": "480-940-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPTON",
        "first_name": "LORRAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN131680",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP7901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.