Active NPI
Kamryn Mychaela Church, BSN, RN
- Registered Nurse
- Peoria, AZ
National Provider Identifier
1821998691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 249806
- Practice address
- 21258 N 81St Ave
Peoria, AZ 85382-4418 - Phone
- (623) 412-4907
- NPI assigned
- Nov 6, 2026
- Last updated
- Nov 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 249806 | AZ | |
| Registered Nurse | 163W00000X | 249806 | AZ | Primary |
Addresses
Primary practice location
21258 N 81St Ave
Peoria, AZ 85382-4418
Mailing address
14768 W Soft Wind Dr
Surprise, AZ 85387-1971
Phone (623) 738-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793923200000",
"number": "1821998691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14768 W SOFT WIND DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853871971",
"telephone_number": "623-738-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21258 N 81ST AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853824418",
"telephone_number": "623-412-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "KAMRYN",
"middle_name": "MYCHAELA",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-11-06",
"last_updated": "2026-11-06",
"certification_date": "2026-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "249806",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "249806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
- CHP Care, PC
- Chris Brooker DO PLLC (Halcyon Health & Wellness)
- Christine a. Lemon PLLC
- Kristi A Chua, RN
- Ashley Patricia Chung, N.D.
- Cigna Healthcare of Arizona, Inc (EVERNORTH Care Group Sun City Multi-Specialty Center)
- Cigna Healthcare of Arizona, Inc. (Arrowhead Ranch Medical Office; Arrowhead Ranch)
- Cigna Healthcare of Az (EVERNORTH Care Group Sun City Urgent Care)
- Cindy L. Tatum, CSMW, Inc. (CLTatum & Associates)
- Jacquelinne Cisneros
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.