Individual provider Active NPI

Kimberly Hull Leight, MS, PSYNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1053497370
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN054775 Issued in AZ
Practice address
1232 E Broadway Rd
Tempe, AZ 85282-1511
Phone
(480) 784-1514
Fax
(480) 967-3528
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN054775 AZ Primary

Addresses

Primary practice location

1232 E Broadway Rd
Tempe, AZ 85282-1511

Mailing address

1454 E Los Arboles Dr
Tempe, AZ 85284-2459

Other names 1

  • Ms. Kimberly Hull Pimenta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1053497370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 E LOS ARBOLES DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821511",
            "telephone_number": "480-784-1514",
            "fax_number": "480-967-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHT",
        "first_name": "KIMBERLY",
        "middle_name": "HULL",
        "name_prefix": "Ms.",
        "credential": "MS, PSYNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN054775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PIMENTA",
            "middle_name": "HULL",
            "prefix": "MS.",
            "credential": "MS, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.