Individual provider Active NPI

Colleen Marie Power Kupka, NP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1821471624
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP256830 Issued in AZ
Practice address
9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036
Phone
(480) 589-3999
Fax
(480) 546-5202
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN189383 AZ
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN189383 AZ
Family Nurse Practitioner 363LF0000X RNP256830 AZ Primary

Addresses

Primary practice location

9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036

Mailing address

9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036
Phone (480) 589-3999

Other practice location 1

158087 N Frank Lloyd Wright Blvd Suite 110
Scottsdale, AZ 85260
Phone (480) 589-3999

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rejuvenatemyhormones@gmail.com Direct

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

LicenseStateTypeSpecialty
RN189383AZMDRegistered Nurse
RNP256830AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1821471624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST STE A115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585036",
            "telephone_number": "480-589-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST STE A115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585036",
            "telephone_number": "480-589-3999",
            "fax_number": "480-546-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158087 N Frank Lloyd Wright Blvd Suite 110",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "85260",
            "country_code": "US",
            "telephone_number": "480-589-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWER KUPKA",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN189383",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AZ",
            "license": "RN189383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP256830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rejuvenatemyhormones@gmail.com",
            "affiliation": "N",
            "endpointDescription": "rejuvenatemyhormones@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9700 N 91st St",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852585054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.