Active NPI
Patricia K Kennedy, NP
- Psychiatric/Mental Health Nurse Practitioner
- Apache Junction, AZ
National Provider Identifier
1760417489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN055120
- Practice address
- 150 N Ocotillo Dr
Apache Junction, AZ 85220-3740 - Phone
- (480) 983-0571
- Fax
- (480) 983-0896
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN055120 | AZ | Primary |
Addresses
Primary practice location
150 N Ocotillo Dr
Apache Junction, AZ 85220-3740
Mailing address
PO Box 3160
Apache Junction, AZ 85217-3160
Phone (480) 288-5328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470021 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terros Inc | Past | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Psychiatric/Mental Health | Past | Accepting new patients |
| Horizon Health and Wellness, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Past | Accepting new patients |
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.
-
- Professional Counselor
- Globe, AZ
- NPI 1205931987
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Globe, AZ
- NPI 1689436412
-
- Federally Qualified Health Center (FQHC)
- Oracle, AZ
- NPI 1710366737
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1356202360
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760417489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3160",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852173160",
"telephone_number": "480-288-5328",
"fax_number": "480-288-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N OCOTILLO DR",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852203740",
"telephone_number": "480-983-0571",
"fax_number": "480-983-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "PATRICIA",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "RN055120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470021",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.