Individual provider Active NPI

Tina Marie Kile

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1760247985
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309654 Issued in AZ
Practice address
1331 N 7TH St Ste 375
Phoenix, AZ 85006-2707
Phone
(602) 307-0070
Fax
(602) 307-0080
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 RN108757 AZ
Family Nurse Practitioner 363LF0000X 309654 AZ Primary

Addresses

Primary practice location

1331 N 7TH St Ste 375
Phoenix, AZ 85006-2707

Mailing address

1331 N 7TH St Ste 375
Phoenix, AZ 85006-2707
Phone (602) 307-0070

Other names 1

  • Tina Marie Billingsley Former name

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
I20241122003525 AZ Practitioner - Nurse Practitioner 1052846342 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
Heart and Vascular Center of Arizona, PLLCGroup PAC ID 3870487812, 14 clinicians

Practice addresses (Care Compare)

1331 N 7TH St
Suite 375
Phoenix, AZ 85006-2707
Phone (602) 307-0070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN108757AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular Center of Arizona, PLLC CurrentSince Sep 14, 2024 Accepting new patients

Locations

1331 N 7th St
Ste 375
Phoenix, AZ 85006
Phone (602) 271-9064

9305 W Thomas Rd
Ste 270
Phoenix, AZ 85037

Interoperability endpoints

  • Direct secure messaging: tina.kile.1@33009.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1760247985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062707",
            "telephone_number": "602-307-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 375",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062707",
            "telephone_number": "602-307-0070",
            "fax_number": "602-307-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN108757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "309654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BILLINGSLEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.