Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962010298 Individual Practitioner Female Practitioner

Katherine D Clinkenbeard , PA-C

Physician Assistant • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Katherine Clinkenbeard, PA-C is a registered healthcare professional specializing in Physician Assistant in Phoenix, AZ. Practice services are available at 1919 E THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1919 E Thomas Rd

Phoenix, AZ 850167710

Telephone 6029330016
Fax 6029334318
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% 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: 2021-06-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 7985

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
086583 (AZ)

Secondary Practice Locations

6633 E Greenway Pkwy Apt 2045

Scottsdale, AZ 852542036

Phone: 3035470012

Practice Associates & Co-Workers

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

22 Associated Practitioners
Patricia Thiel , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043721095

CPNPPC

Dr. Jason Fraser , MD

Surgery - Pediatric Surgery

NPI 1083643159

Doctor of Medicine (M.D.)

Candace Fradette , FNP

Nurse Practitioner - Family

NPI 1144690280

Family Nurse Practitioner

Dr. Dorothy Rowe , MD

Surgery - Pediatric Surgery

NPI 1225010598

Doctor of Medicine (M.D.)

Dr. Erin Garvey , MD

Surgery - Pediatric Surgery

NPI 1255621405

Doctor of Medicine (M.D.)

Dr. David Notrica , MD

Surgery - Pediatric Surgery

NPI 1326020603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 24, 2021

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029330016)

📍
Updated Business Mailing Address June 24, 2021

Registered at 3200 E CAMELBACK RD STE 250, PHOENIX, AZ 850182327 (Tel: 6029331813)

👤
Provider Name / Credentials Updated June 24, 2021

Recorded as KATHERINE CLINKENBEARD, PA-C

NPI Profile Active July 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2020

Registered at 6633 E GREENWAY PKWY APT 2045, SCOTTSDALE, AZ 852542036 (Tel: 3035470012)

📍
Updated Business Mailing Address July 22, 2020

Registered at 6633 E GREENWAY PKWY APT 2045, SCOTTSDALE, AZ 852542036 (Tel: 3035470012)

👤
Provider Name / Credentials Updated July 22, 2020

Recorded as KATHERINE DULIN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2020

Physician Assistant (License #7985 in AZ)

🟢
Initial NPI Registration & Enumeration July 22, 2020

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: 1962010298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2020
Last Update: June 24, 2021
Sole Proprietor: Yes

Mailing Address

3200 E Camelback Rd Ste 250

Phoenix, AZ 850182327

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.