Individual provider Active NPI

Ekaterina Erev

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1841878451
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
255593 Issued in AZ
Practice address
9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455
Phone
(602) 369-2983
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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 255593 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455

Mailing address

9225 N 3Rd St Ste 102
Phoenix, AZ 85020-2455
Phone (602) 369-2983

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
I20210505002870 AZ Practitioner - Nurse Practitioner 2567871486 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Pain and Anesthesia PLLC CurrentSince Aug 1, 2023 Accepting new patients
Kpa Medical LLC CurrentSince Aug 1, 2023 Accepting new patients
Kmtrask, PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503

7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111

8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317

Interoperability endpoints

  • Direct secure messaging: ekaterina.erev@71082555932676.direct.elationemr.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1841878451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202455",
            "telephone_number": "602-369-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202455",
            "telephone_number": "602-369-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EREV",
        "first_name": "EKATERINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "255593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.