Active NPI
Kristin Ann Neal, PA-C
- Physician Assistant
- Scottsdale, AZ
National Provider Identifier
1972776680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2221
- Practice address
- 7609 E Pinnacle Peak Rd
Suite 9
Scottsdale, AZ 85255-3415 - Phone
- (480) 585-0095
- Fax
- (480) 585-0185
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2221 | AZ | Primary |
Addresses
Primary practice location
7609 E Pinnacle Peak Rd
Suite 9
Scottsdale, AZ 85255-3415
Mailing address
11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone (602) 942-4462
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2221 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | Past | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1336464445
-
- Clinic/Center
- Phoenix, AZ
- NPI 1801190723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1972776680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 N BLACK CANYON HWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294757",
"telephone_number": "602-942-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7609 E PINNACLE PEAK RD",
"address_2": "SUITE 9",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852553415",
"telephone_number": "480-585-0095",
"fax_number": "480-585-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "KRISTIN",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.