Kerry Joseph

Primary specialty

ContractorTaxonomy code 171W00000X

License

10424923 Issued in AZ

Practice address

2627 N 45TH Ave Apt 2051
Phoenix, AZ 85035-2321

Phone

(602) 245-5724

Fax

(520) 407-5398

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1821794967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-407-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 N 45TH AVE APT 2051",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850352321",
            "telephone_number": "602-245-5724",
            "fax_number": "520-407-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "10424923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS THERAPEUTIC FOSTER CARE",
            "identifier": "10424923",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Zakhary MD LLC
• Cecil Antonio Joseph Jr., MSW, LICSW
• Christopher Devon Joseph
• Debra Susan Joseph, PSYD
• Kerrie Ann Joseph
• Lakeisha Joseph
• Maniriho Joseph
• Mary Ellen Joseph, PTA
• Moise Joseph, MD
• Shaena Joseph

• Contractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.