Individual provider Active NPI

Kathie Lillian Bankson, N.P.

  • Family Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1891764296
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP667 Issued in AZ
Practice address
501 E Plaza Cir Dr
Suite a
Litchfield Park, AZ 85340-4998
Phone
(623) 536-7956
Fax
(623) 536-9806
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP667 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1979 AZ

Addresses

Primary practice location

501 E Plaza Cir Dr
Suite a
Litchfield Park, AZ 85340-4998

Mailing address

14166 W Indianola Ave
Goodyear, AZ 85338-8455
Phone (623) 536-5484

Other identifiers 1

IdentifierTypeStateIssuer
729618MedicaidAZ

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP667AZMDFamily Nurse Practitioner
AP1979AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Psychological Services, LLC PastSince Aug 1, 2002 Accepting new patients

Organizations & group practices 1

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891764296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14166 W INDIANOLA AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853388455",
            "telephone_number": "623-536-5484",
            "fax_number": "623-536-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E PLAZA CIR DR",
            "address_2": "SUITE A",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404998",
            "telephone_number": "623-536-7956",
            "fax_number": "623-536-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSON",
        "first_name": "KATHIE",
        "middle_name": "LILLIAN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP667",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.