Active NPI
Arlene Dawn Kluizenaar, PA
- Medical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1881798080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA001775L
- Practice address
- 9250 W Thomas Rd Ste 400
Phoenix, AZ 85037-3386 - Phone
- (623) 772-4000
- NPI assigned
- Sep 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA001775L | PA | Primary |
Addresses
Primary practice location
9250 W Thomas Rd Ste 400
Phoenix, AZ 85037-3386
Mailing address
9723 W Augusta Dr
Sun City, AZ 85351-3667
Phone (484) 686-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001775L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1881798080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9723 W AUGUSTA DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513667",
"telephone_number": "484-686-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 W THOMAS RD STE 400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373386",
"telephone_number": "623-772-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUIZENAAR",
"first_name": "ARLENE",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA001775L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.