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Versatile Medicine Pllc

Internal Medicine Physician in Avondale, AZ · enumerated 2006 · authorized official Kathleen Nichols, Physician/General Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326145608

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Registry record

Entity type Organization (Type 2)
Legal business name Versatile Medicine Pllc
Practice address 13055 W Mcdowell Rd, Suite E-106, Avondale, AZ, 85392
Fax (623) 935-2975
Enumeration date Sep 20, 2006
Last updated in NPPES Jun 8, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License AZ26993 (AZ) Primary

Authorized official

Name Kathleen Nichols
Title Physician/General Manager

Other identifiers

Identifier Type State Issuer
AZ0761300 Other AZ BLUE CROSS BLUE SHIELD
AZ0765500 Other AZ BLUE CROSS BLUE SHIELD
517675 Medicaid AZ -
486581001 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Versatile Medicine Pllc located?
The practice location on file with NPPES is in Avondale, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-08.