NPIMap

Individual provider Active NPI

Kasey Cox, FNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1861905416
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11170023 Issued in AZ
Practice address
2082 Mesquite Ave
Lake Havasu City, AZ 86403-6710
Phone
(928) 680-4233
NPI assigned
Nov 6, 2017
Last updated
Oct 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

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 F11170023 AZ Primary

Addresses

Primary practice location

2082 Mesquite Ave
Lake Havasu City, AZ 86403-6710

Mailing address

2369 Barranca Dr
Lake Havasu City, AZ 86403-3104
Phone (928) 486-9399

Other practice location 1

365 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9368
Phone (928) 453-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180402001155 AZ Practitioner - Nurse Practitioner 9931461944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Family HealthcareGroup PAC ID 4789834292, 2 clinicians

Practice addresses (Care Compare)

2082 Mesquite Ave
Suite 106
Lake Havasu City, AZ 86403-6710
Phone (928) 680-4233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11170023AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa J Tibbetts M D LLC Current Accepting new patients
Cornerstone Family Healthcare CurrentSince Mar 1, 2018 Accepting new patients

Locations

2082 Mesquite Ave
Ste 106
Lk Havasu Cty, AZ 86403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFCBA
  • Direct secure messaging: kasey.cox@cfh.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1861905416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 BARRANCA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033104",
            "telephone_number": "928-486-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036710",
            "telephone_number": "928-680-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Lake Havasu Ave S",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864039368",
            "country_code": "US",
            "telephone_number": "928-453-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "KASEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F11170023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.