Kathleen B Rickard, DNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN046461 Issued in AZ

Practice address

11209 N Tatum Blvd Ste 160
Phoenix, AZ 85028-3092

Phone

(480) 285-2180

Fax

(480) 285-2182

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Susan del Sordi Staats DO PLLCGroup PAC ID 1052674090, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Susan del Sordi Staats, DO PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1649776105
  Medicare reassignment Care Compare group NPD
• Carefree Internal Medicine, PC

  • Internal Medicine Physician
  • Carefree, AZ
  • NPI 1861680613
  NPD (past)
• Flow Rheumatology, PLLC

  • Rheumatology Physician
  • Scottsdale, AZ
  • NPI 1023633195
  NPD (past)
• Premier Pain & Wellness

  • Pain Medicine Physician
  • Peoria, AZ
  • NPI 1457035370
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1922003250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180",
            "fax_number": "480-285-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283092",
            "telephone_number": "480-285-2180",
            "fax_number": "480-285-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "KATHLEEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN046461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393934",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Richmond, P.T.
• Aleda M Richter West, MSW LCSW
• Andrew Richter, MOT, OTR/L
• Rick R. Campbell DDS PC
• Thomas Rick, M.D.
• Ryan Alexander Rickards, DDS
• Glenn Bernard Ricker, LISAC
• Beverly Ricketts, PNP
• Mary Elizabeth Ricketts, LCSW
• Julie Rickman McCall, RDN, IBCLC

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.