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

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

Other providers in Goodyear