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

Mrs. Kay Lynn Southwell, PMHNP-BC, NPC

Individual provider Primary Care Nurse Practitioner · NPI 1730320623

Mrs. Kay Lynn Southwell, PMHNP-BC, NPC is a Nurse Practitioner in Mesa, Arizona. Qualified in 2008, 18 years ago. Practices with Bhsm Rehabilitation LLC, a 456-clinician group and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
18
Licensed in
AZ, MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1910 S Stapley Dr Ste 217
Mesa, AZ 85204-6679
Phone: (602) 888-0370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP8742 (AZ)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704216251 (MI)

Record details

NPI number1730320623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , NPC
Sole proprietorNo
NPI enumeratedMarch 23, 2009
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bhsm Rehabilitation Llc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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