Active NPI
Kim Machelle Remington
- Specialist
- Mayer, AZ
National Provider Identifier
1083774558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 13251 Main Street
Mayer, AZ 86333 - Phone
- (928) 632-8376
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
13251 Main Street
Mayer, AZ 86333
Mailing address
PO Box 1109
Mayer, AZ 86333-1109
Phone (928) 632-8376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820888 | Other | AZ | AHCCCS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083774558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1109",
"city": "MAYER",
"state": "AZ",
"postal_code": "863331109",
"telephone_number": "928-632-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13251 MAIN STREET",
"city": "MAYER",
"state": "AZ",
"postal_code": "86333",
"telephone_number": "928-632-8376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMINGTON",
"first_name": "KIM",
"middle_name": "MACHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "820888",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayer, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.