Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Rose Andersen, MD

Individual provider Pediatrics Physician · NPI 1851096093

Kayla Rose Andersen, MD is a Pediatric Medicine in Phoenix, Arizona. Qualified in 2023, 3 years ago. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 79464 (AZ)

Record details

NPI number1851096093
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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