Southwestern Pediatricspllc
NPI 1093033110 · Family Nurse Practitioner · Maricopa, AZ
Southwestern Pediatricspllc is a Family Nurse Practitioner organization in Maricopa, AZ (NPI 1093033110).
Provider details
- NPI number
- 1093033110
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Southwestern Pediatrics PLLC
- Organization subpart
- Yes
- Authorized official
- Kellie Denos, Front Office(480) 857-6316
- License
- AP3529 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-13
- Last updated
- 2010-05-13
Frequently asked questions
- What is Southwestern Pediatricspllc's NPI number?
- Southwestern Pediatricspllc's National Provider Identifier (NPI) is 1093033110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwestern Pediatricspllc?
- Southwestern Pediatricspllc is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southwestern Pediatricspllc located?
- Southwestern Pediatricspllc's practice location on file with NPPES is 21300 N John Wayne Pkwy Ste 109, Maricopa, AZ 85139-8964.
- What is Southwestern Pediatricspllc's phone number?
- The practice phone number listed in the NPPES registry for Southwestern Pediatricspllc is (520) 568-9500.
- Who is the authorized official for Southwestern Pediatricspllc?
- The authorized official listed on Southwestern Pediatricspllc's NPPES record is Kellie Denos, Front Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwestern Pediatricspllc's NPI active?
- Yes — Southwestern Pediatricspllc's NPI (1093033110) is active in the NPPES registry as of the last update on 2010-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.