Individual provider Active NPI

Mona Kamal, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1801305305
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021308 Issued in PA
Practice address
1750 E Broadway Rd
Tempe, AZ 85282-1612
Phone
(480) 274-2820
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10594 AZ
Family Nurse Practitioner 363LF0000X SP021308 PA Primary

Addresses

Primary practice location

1750 E Broadway Rd
Tempe, AZ 85282-1612

Mailing address

9110 S Parkside Dr
Tempe, AZ 85284-3820
Phone (480) 274-2820

Other practice location 1

2010 S Dobson Rd
Chandler, AZ 85286-7374
Phone (480) 899-2183

Other practice location 2

611 Duncan Ave
Pittsburgh, PA 15237-5854
Phone (480) 274-2820

Other practice location 3

9110 S Parkside Dr
Tempe, AZ 85284-3820
Phone (480) 274-2820

Other identifiers 1

IdentifierTypeStateIssuer
NPOtherNP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pittsburgh Other

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

State licenses

LicenseStateTypeSpecialty
SP021308PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mona.kamal@91098514915332.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1801305305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 S PARKSIDE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843820",
            "telephone_number": "480-274-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821612",
            "telephone_number": "480-274-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867374",
            "country_code": "US",
            "telephone_number": "480-899-2183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Duncan Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152375854",
            "country_code": "US",
            "telephone_number": "480-274-2820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9110 S Parkside Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843820",
            "country_code": "US",
            "telephone_number": "480-274-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "MONA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "NP",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pittsburgh",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "pittsburgh",
            "address_1": "611 Duncan Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152375854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.