Individual provider Active NPI

Kelly Laughlin, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1982476222
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
301031 Issued in AZ
Practice address
1324 W Berridge LN
Phoenix, AZ 85013-1427
Phone
(623) 695-9204
NPI assigned
Oct 30, 2023
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301031 AZ Primary
Emergency Registered Nurse 163WE0003X RN137266 AZ

Addresses

Primary practice location

1324 W Berridge LN
Phoenix, AZ 85013-1427

Mailing address

1324 W Berridge LN
Phoenix, AZ 85013-1427
Phone (623) 695-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917004791 AZ Practitioner - Nurse Practitioner 2466956958 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Physicians PLLCGroup PAC ID 2163859422, 7 clinicians

Practice addresses (Care Compare)

9070 E Desert Cove Ave
Suite 102
Scottsdale, AZ 85260-6227
Phone (480) 553-6168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physicians PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Synergy Global Health Inc. CurrentSince Jun 1, 2025 Accepting new patients
Synergyhealth360 PLLC CurrentSince Oct 1, 2025 Accepting new patients
Instacare PLLC CurrentSince Jun 1, 2025 Accepting new patients
Synergy Wound 360 PLLC PastSince Aug 1, 2025 Accepting new patients

Locations

16635 N 43rd Ave
Phoenix, AZ 85053
Phone (602) 843-7900

16635 N 43rd Ave
#100
Phoenix, AZ 85053
Phone (480) 553-6168

16635 N 43rd Ave
Ste 100
Phoenix, AZ 85053

9070 E Desert Cove Ave
#A102
Scottsdale, AZ 85260
Phone (480) 553-6168

9070 E Desert Cove Ave
Ste 102
Scottsdale, AZ 85260
Phone (480) 553-6168

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20314/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.laughlin.1@20314.direct.athenahealth.com

Organizations & group practices 5

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1982476222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W BERRIDGE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131427",
            "telephone_number": "623-695-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W BERRIDGE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131427",
            "telephone_number": "623-695-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "KELLY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301031",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN137266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.