Individual provider Active NPI

Kristen Botiller, FNP

  • Occupational Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1972318186
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
319982 Issued in AZ
Practice address
9305 W Thomas Rd Ste 235
Phoenix, AZ 85037-3363
Phone
(623) 327-4100
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 319982 AZ
Occupational Health Nurse Practitioner 363LX0106X 319982 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 235
Phoenix, AZ 85037-3363

Mailing address

511 W Manor St
Chandler, AZ 85225-7044
Phone (480) 487-2691

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
319982AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Occupational Health Arizona LLC CurrentSince Aug 17, 2025 Accepting new patients
Banner Occupational Health Arizona LLC PastSince Aug 17, 2025 Accepting new patients

Locations

9305 W Thomas Rd
Ste 235
Phoenix, AZ 85037
Phone (623) 327-4100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1972318186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W MANOR ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257044",
            "telephone_number": "480-487-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 235",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373363",
            "telephone_number": "623-327-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTILLER",
        "first_name": "KRISTEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "319982",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AZ",
            "license": "319982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.