Kira Lynn Cornett, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

257995 Issued in AZ

Practice address

910 W Walnut St
Oracle, AZ 85623

Phone

(520) 404-0378

NPI assigned

May 21, 2012

Reactivated

Aug 13, 2021

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kira Lynn Morrill Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1801156146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "ORACLE",
            "state": "AZ",
            "postal_code": "85623",
            "telephone_number": "520-404-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W WALNUT ST",
            "city": "ORACLE",
            "state": "AZ",
            "postal_code": "85623",
            "telephone_number": "520-404-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "KIRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "deactivation_date": "2020-10-22",
        "reactivation_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRA",
            "last_name": "MORRILL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Benavidez
• William Maurice Bunch, DMD
• Sarah L Daffron
• Matthew G. Datlow, MSPAS, PA-C
• Daniel Mark Gust, MSN, APRN, FNP-C
• Horizon Health & Wellness, Inc. (Mountain Health & Wellness)
• Horizon Health and Wellness, Inc.

• Family Nurse Practitioner in Oracle, AZ
• Providers in Oracle, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.