Kehart Lynn Flom Racoma

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

230888 Issued in AZ

Practice address

4527 N 16TH St Ste 104
Phoenix, AZ 85016-5353

Phone

(602) 845-8000

Fax

(602) 845-8001

NPI assigned

May 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1962067363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 E MERCER LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283437",
            "telephone_number": "602-300-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N 16TH ST STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165353",
            "telephone_number": "602-845-8000",
            "fax_number": "602-845-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 E Mayo Blvd Unit 3000",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850506977",
            "country_code": "US",
            "telephone_number": "480-384-5816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOM RACOMA",
        "first_name": "KEHART",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "230888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Flint, PT, DPT
• Margo Flint, LMSW
• Stephen S Flitman, M.D.
• Jessica Flittie, FNP
• Sarah Flocks
• Emmet J. Flood, DPT
• Timothy John Flood, M.D.
• Tyler M Florek
• Florence Crittenton Services of Arizona, Inc.
• Florence Crittenton Services of Arizona, Inc.

• Geriatric Medicine (Internal Medicine) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.