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

Kylie Lasota

Individual provider Physician Assistant · NPI 1689415184

Kylie Lasota is a Physician Assistant in Goodyear, Arizona. Qualified in 2025, 1 year ago. Practices with Emergency Group of Arizona Professional Corporation, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone: (623) 882-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 — (602) 249-0212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11418 (AZ)

Record details

NPI number1689415184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address13677 W McDowell Rd, Goodyear, AZ 85395-2635

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Group Of Arizona Professional Corporation — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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