Individual provider Active NPI

Kristina Donnay, FNP-C

  • Family Medicine Physician
  • Maricopa, AZ
National Provider Identifier
1972087013
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP11520 Issued in AZ
Practice address
41600 W Smith Enke Rd Ste 3
Maricopa, AZ 85138
Phone
(520) 464-6193
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1114129848 AZ
Family Medicine Physician 207Q00000X AP11520 AZ Primary

Addresses

Primary practice location

41600 W Smith Enke Rd Ste 3
Maricopa, AZ 85138

Mailing address

41600 W Smith Enke Rd Ste 3
Maricopa, AZ 85138-2705
Phone (520) 464-6193

Other practice location 1

3503 South Mercy Road
Gilbert, AZ 85296
Phone (480) 899-4420

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP11520AZMDFamily Medicine Physician
1114129848AZMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1972087013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41600 W SMITH ENKE RD STE 3",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382705",
            "telephone_number": "520-464-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41600 W SMITH ENKE RD STE 3",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85138",
            "telephone_number": "520-464-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3503 SOUTH MERCY ROAD",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85296",
            "country_code": "US",
            "telephone_number": "480-899-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNAY",
        "first_name": "KRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "1114129848",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP11520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.