Healthcare Provider Details

I. General information

NPI: 1275441222
Provider Name (Legal Business Name): KASSANDRA TOMPKINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33300 N 32ND AVE STE 310
PHOENIX AZ
85085-8826
US

IV. Provider business mailing address

2910 N 3RD AVE # 200
PHOENIX AZ
85013-4434
US

V. Phone/Fax

Practice location:
  • Phone: 623-562-3730
  • Fax: 833-428-8315
Mailing address:
  • Phone: 602-406-3181
  • Fax: 833-973-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number338700
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: