Individual provider Active NPI

Kimberly Kay Arnold, FNP

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1023312311
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP5062 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(480) 301-8000
NPI assigned
Jan 1, 2011
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP5062 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131018000571 AZ Practitioner - Nurse Practitioner 8022242494 Reassigns benefits to 3 organizations
I20240703003800 TX Practitioner - Nurse Practitioner 8022242494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

1 N Central Ave
Suite 105
Phoenix, AZ 85004-4416
Phone (602) 255-7650

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

3141 E Indian School Rd
Phoenix, AZ 85016-6807
Phone (602) 255-7700

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5062AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince May 28, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Nov 1, 2024 Accepting new patients
Jewish Family & Children's Service CurrentSince Feb 1, 2016 Accepting new patients
Jewish Family & Children's Service CurrentSince Feb 1, 2016 Accepting new patients
Salt River Pima-Maricopa Indian Community Current Accepting new patients
District Medical Group, Inc Past Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients

Locations (25 of 47)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

1 N Central Ave
Ste 105
Phoenix, AZ 85004
Phone (602) 255-7520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1023312311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-01",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP5062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.