Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245668623 Individual Practitioner Female Practitioner

Kelly Diana Deckard , FNP

Nurse Practitioner - Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Kelly Deckard, FNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Phoenix, AZ. Practice services are available at 2120 N CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2120 N Central Ave

Phoenix, AZ 850041455

Telephone 6029336100
Fax 6029332422
Associated Practice Facility / Clinic
🏢 Childhelp, Inc. Facility NPI 1124107065

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
244 Specialists

Practicing in Phoenix, AZ (443 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AZ 274000

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
158847 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Kim Yeakel , PNP

Nurse Practitioner - Pediatrics

NPI 1134374754

Pediatric Nurse Practitioner

Cynthia Nelson , PNP

Nurse Practitioner - Pediatrics

NPI 1316163868

Pediatric Nurse Practitioner

Cathy Boyle , PNP

Nurse Practitioner - Pediatrics

NPI 1356360705

Pediatric Nurse Practitioner

Dr. Mandy O'hara , MD

Pediatrics - Child Abuse Pediatrics

NPI 1467588855

Doctor of Medicine (M.D.)

Dr. Trenton Hubbard , MD

Pediatrics - Child Abuse Pediatrics

NPI 1487919155

Doctor of Medicine (M.D.)

Kimberly Dent , PNP

Nurse Practitioner - Pediatrics

NPI 1558873018

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 21, 2024

Registered at 2120 N CENTRAL AVE, PHOENIX, AZ 850041455 (Tel: 6029336100)

📍
Updated Business Mailing Address August 29, 2023

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850160008 (Tel: 6029331813)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Nurse Practitioner (License #274000 in AZ)

📍
Updated Practice Location August 30, 2022

Registered at 1919 E THOMAS RD, PHOENIX, AZ 85016 (Tel: 6029331000)

📍
Updated Business Mailing Address August 30, 2022

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029331000)

📍
Updated Practice Location July 17, 2020

Registered at 39000 BOB HOPE DR., RANCHO MIRAGE, CA 92270 (Tel: 7603402336)

📍
Updated Business Mailing Address July 17, 2020

Registered at 39000 BOB HOPE DR., RANCHO MIRAGE, CA 92270 (Tel: 7603402336)

NPI Profile Active January 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2014

Registered at 11234 ANDERSON ST, ROOM 6700 H, LOMA LINDA, CA 923542804 (Tel: 9095588574)

📍
Updated Business Mailing Address January 22, 2014

Registered at 11234 ANDERSON ST, ROOM 6700 H, LOMA LINDA, CA 923542804 (Tel: 9095588574)

👤
Provider Name / Credentials Updated January 22, 2014

Recorded as KELLY DECKARD, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2014

Nurse Practitioner (License #23684 in CA)

🟢
Initial NPI Registration & Enumeration October 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245668623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2013
Last Update: June 21, 2024
Sole Proprietor: No

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850160008

Phone: 6029331813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.