KIM MARY LICCIARDI FNP-C.
NPI 1548516438
Nurse Practitioner - Family in Scottsdale, AZ
About Kim Mary Licciardi Fnp-c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM MARY LICCIARDI FNP-C. (NPI 1548516438) is an individual family provider in Scottsdale, Arizona, licensed in Arizona (AP4578) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Mary Licciardi Fnp-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
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 Kim Licciardi's NPI number?
The NPI number for Kim Licciardi is 1548516438. It was assigned to this individual provider in the NPPES registry on July 27, 2012.
Where is Kim Licciardi located?
Kim Licciardi practices at 14672 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260. The listed phone number is (866) 389-2727.
What is Kim Licciardi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kim Licciardi enrolled in Medicare?
Yes. Kim Licciardi is registered in the Medicare PECOS enrollment system.
What insurance does Kim Licciardi accept?
Health plans from Blue Cross Blue Shield of Arizona list Kim Licciardi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kim Licciardi was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kim Mary Licciardi, FNP-C. · NPI 1548516438
Family physician in Scottsdale, Arizona. Individual provider, active in the CMS NPPES registry since July 27, 2012.
## Identity
- **NPI:** 1548516438 (Entity type: Individual)
- **Enumerated:** July 27, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP4578 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14672 N FRANK LLOYD WRIGHT BLVD, Scottsdale, AZ 85260-2043
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 10, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1548516438) · Data from the CMS NPPES public registry.