Active NPI
Steven Kemp, FNP APPLICANT
- General Practice Registered Nurse
- Kingman, AZ
National Provider Identifier
1790401990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN095853
- Practice address
- 2255 E Butler Ave
Kingman, AZ 86409-1833 - Phone
- (928) 379-0839
- NPI assigned
- Oct 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN095853 | IA | Primary |
Addresses
Primary practice location
2255 E Butler Ave
Kingman, AZ 86409-1833
Mailing address
2255 E Butler Ave
Kingman, AZ 86409-1833
Phone (928) 379-0839
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN095853 | IA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1790401990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 E BUTLER AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864091833",
"telephone_number": "928-379-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 E BUTLER AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864091833",
"telephone_number": "928-379-0839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "STEVEN",
"credential": "FNP APPLICANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IA",
"license": "RN095853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.