Individual provider Active NPI

Kelli M Patterson, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1891211538
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10444 Issued in AZ
Practice address
1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281
Phone
(480) 962-0071
Fax
(480) 962-0590
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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 AP10444 AZ Primary

Addresses

Primary practice location

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281

Mailing address

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281
Phone (480) 962-0071

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
I20180206000685 AZ Practitioner - Nurse Practitioner 0840550125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10444AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Mar 14, 2022 Accepting new patients
Sonoran Spine Center P.C. CurrentSince Nov 15, 2017 Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Mar 14, 2022 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3717 S Rome St
Ste 106
Gilbert, AZ 85297
Phone (623) 683-8184

5681 W Beverly Ln
Ste 101
Glendale, AZ 85306

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1255 W Rio Salado Pkwy
Ste 107
Tempe, AZ 85281
Phone (602) 443-4170

Interoperability endpoints

  • Direct secure messaging: kpatterson139304@direct.honorhealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICIFBD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1891211538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY",
            "address_2": "SUITE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY",
            "address_2": "SUITE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KELLI",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.