Individual provider Active NPI

Kimberly Maureen Zimba, RN

  • School Registered Nurse
  • Buckeye, AZ
National Provider Identifier
1063913218
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN187113 Issued in AZ
Practice address
25418 S 187TH Ave
Buckeye, AZ 85326-4631
Phone
(623) 687-0518
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN187113 AZ Primary

Addresses

Primary practice location

25418 S 187TH Ave
Buckeye, AZ 85326-4631

Mailing address

25418 S 187TH Ave
Buckeye, AZ 85326-4631
Phone (623) 687-0518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN187113AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1063913218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25418 S 187TH AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853264631",
            "telephone_number": "623-687-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25418 S 187TH AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853264631",
            "telephone_number": "623-687-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBA",
        "first_name": "KIMBERLY",
        "middle_name": "MAUREEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN187113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.