Kelly Schultz, LLC.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KELLY SCHULTZ, LLC.

Doing business as

Nurse Practitioner Consultants

Practice address

4555 E Mayo Blvd
Phoenix, AZ 85050-6952

Phone

(602) 883-3647

NPI assigned

Oct 19, 2018

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly L Schultz, DNP, RN, AGNP-CNPI 1023499860

Title

Owner

Phone

(480) 883-3647

Specialties & licenses 4

Addresses

Other names 1

• Nurse Practitioner Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBEFCD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Lynn Schultz, DNP RN AGNP-C

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1023499860

  Wound Care

  Medicare reassignment NPD Authorized official
• Deryl R Lamb, MD

  • Family Medicine Physician
  • Queen Creek, AZ
  • NPI 1811923758
  Medicare reassignment NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1942776646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 E GREENWAY ROAD",
            "address_2": "SUITE 11-180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325245",
            "telephone_number": "866-263-3820",
            "fax_number": "866-857-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506952",
            "telephone_number": "602-883-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY SCHULTZ, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-883-3647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, RN, AGNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Practitioner Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Renee Kellum, N.D.
• Rodney Jamal Kellum, CRNA
• Kelly E Psychiatry LLC
• Kelly H. Roy, MD, PC
• Kelly Mollison
• Anthony Kelly, PA
• Ashley Kelly, PA-C
• Ashley A Kelly, MSW
• Audra Kelly, LMT, CLT
• Brian D Kelly, MD

• 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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.