Individual provider Active NPI

Kelly Ann Twilling, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1790363182
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP256015 Issued in AZ
Practice address
10290 N 92ND St Ste 100
Scottsdale, AZ 85258-4508
Phone
(480) 425-4150
Fax
(480) 657-3491
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RNP256015 AZ Primary

Addresses

Primary practice location

10290 N 92ND St Ste 100
Scottsdale, AZ 85258-4508

Mailing address

6411 S River Dr Unit 33
Tempe, AZ 85283-3334
Phone (480) 206-9443

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
I20210625000411 AZ Practitioner - Nurse Practitioner 5890196091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP256015AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD CurrentSince Apr 7, 2021 Accepting new patients
Southwest Diagnostic Imaging LLC CurrentSince Mar 29, 2021 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

10290 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 425-4150

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

9700 N 91st St
Ste B100
Scottsdale, AZ 85258

1625 N Campbell Ave
Tucson, AZ 85719

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1790363182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 S RIVER DR UNIT 33",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833334",
            "telephone_number": "480-206-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N 92ND ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584508",
            "telephone_number": "480-425-4150",
            "fax_number": "480-657-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWILLING",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP256015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.