Katelyn Squire, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

965 W Chandler Heights Rd
Chandler, AZ 85248-5724

Phone

(480) 460-4949

Fax

(480) 460-5858

NPI assigned

Aug 6, 2014

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDGBAA

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.

• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Somerton, AZ
  • NPI 1962507376
  Medicare reassignment
• Desert Shores Pediatrics

  • Pediatrics Physician
  • Gilbert, AZ
  • NPI 1124386487
  NPD
• Sunset Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • San Luis, AZ
  • NPI 1043324932
  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1992114680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984262",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 W CHANDLER HEIGHTS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485724",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6285 S Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852984262",
            "country_code": "US",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "KATELYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946941",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spooner Physical Therapy & Hand Rehab, PC (Spooner East Chandler)
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Ocotillo)
• Sports Medicine Express PLLC
• Lily Spurlock
• Meagan Squier
• Mary Eloise Squires, LPC
• Dan Inder Singh Sraow, M.D.
• Jagwinder S Sraow, M.D.
• Gujjarappa Srinivas, M.D.
• Aishwarya Sriram, PT,DPT

• Medical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.