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MS. THERESA KELSO NURSE PRACTITIONER
NPI 1336201219
Nurse Practitioner - Family in Mesa, AZ

Active since December 15, 2006
5616 E MAIN ST, MESA, AZ 85205(480) 396-3222(480) 396-2298 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Theresa Kelso Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA KELSO NURSE PRACTITIONER (NPI 1336201219) is an individual family provider in Mesa, Arizona, licensed in Arizona (RN095337) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1336201219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. THERESA KELSOCredential: NURSE PRACTITIONER
Location Address5616 E MAIN STMesa, AZ 85205-8813
Mailing Address5616 E Main StMesa, AZ 85205-8813 · (480) 396-3222 · Fax (480) 396-2298
Phone(480) 396-3222
Fax(480) 396-2298
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateMay 4, 2011
✔ NPI 1336201219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RN095337
5616 E MAIN ST, Mesa, AZ 85205
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Other Identifiers 2

Medicaid167693AZ
Medicare PIN1336201219AZ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN HUPPENTHAL PHYSICAL THERAPY, LLC
Clinic/Center (Physical Therapy)
5616 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 710-3489
MSMANCINA ASSOCIATES ARIZONA, PLLC
Internal Medicine (Cardiovascular Disease)
5616 E MAIN ST
MESA, AZ 85205
Maricopa County (866) 390-4934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Kelso's NPI number?

The NPI number for Theresa Kelso is 1336201219. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Theresa Kelso located?

Theresa Kelso practices at 5616 E Main St, Mesa, AZ 85205. The listed phone number is (480) 396-3222.

What is Theresa Kelso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Kelso was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.