Individual provider Active NPI

Khanh Thi Le, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1841843497
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229786 Issued in AZ
Practice address
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone
(623) 879-6100
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229786 AZ Primary

Addresses

Primary practice location

19829 N 27TH Ave
Phoenix, AZ 85027-4001

Mailing address

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200210000071 AZ Practitioner - Nurse Practitioner 3779919840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

3247 E Bell Rd
PB1
Phoenix, AZ 85032-2707
Phone (602) 255-7655

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

4760 E Thunderbird Rd
Suite 1
Phoenix, AZ 85032-5589
Phone (480) 827-5590

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Feb 1, 2023 Accepting new patients
Banner Urgent Care Arizona LLC Current Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Feb 1, 2023 Accepting new patients
Legacy Chiropractic Partners LLC CurrentSince Jan 1, 2021 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Feb 1, 2023 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Feb 1, 2023 Accepting new patients
Southwest Kidney Institute, PLC Past Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3570 S Val Vista Dr
Ste 109
Gilbert, AZ 85297
Phone (480) 570-6084

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

1940 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 255-7690

3247 E Bell Rd
Phoenix, AZ 85032
Phone (602) 255-7655

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

3611 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-4650

5545 E Broadway Blvd
Tucson, AZ 85711

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

7089 N Thornydale Rd
Ste 101
Tucson, AZ 85741
Phone (520) 694-6600

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1841843497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19829 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274001",
            "telephone_number": "623-879-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19829 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274001",
            "telephone_number": "623-879-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KHANH",
        "middle_name": "THI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "229786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.