Kimberly H. Herman, FNP-C

Key facts

NPI

1104157742

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

AP3504 (AZ)

Practice address

3420 E Shea Blvd Ste 200266
Phoenix, AZ 85028

Phone

(480) 977-6000

Fax

(248) 269-0631

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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

• M Zuhdi Jasser MD PC Internal Medicine Physician · Phoenix, AZ · NPI 1932290897
  Medicare reassignment Care Compare group NPD AZ
• Summit Medical Group Arizona LLC Family Medicine Physician · Glendale, AZ · NPI 1053810622
  Medicare reassignment NPD AZ
• Advanced Nuclear Cardiology PLLC Nuclear Cardiology Physician · Phoenix, AZ · NPI 1821189796
  NPD
• Vpa PC Family Medicine Physician · Phoenix, AZ · NPI 1104382001
  NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner del E Webb Medical Center General Acute Care Hospital · Sun City West, AZ · NPI 1588823553
  Care Compare affiliation Hospital
• Summit Home Health LLC Home Health Agency · Phoenix, AZ · NPI 1760981427
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M Zuhdi Jasser MD PC (7 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Home Health LLC Home health agency · Phoenix, AZ · CCN 037482
• Banner del E. Webb Medical Center Hospital · Sun City West, AZ · CCN 030093

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA/Endpoint/GCDCDA
• FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 10, 2019.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1104157742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200266",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283345",
            "telephone_number": "480-977-6000",
            "fax_number": "248-269-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200266",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-977-6000",
            "fax_number": "248-269-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 E Thomas Rd",
            "address_2": "Suite 124",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515844",
            "country_code": "US",
            "telephone_number": "602-954-0444",
            "fax_number": "602-952-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8111 E Thomas Rd",
            "address_2": "Suite 124",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515844",
            "country_code": "US",
            "telephone_number": "602-954-0444",
            "fax_number": "602-952-7146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "KIMBERLY",
        "middle_name": "H.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

• Erin Christine Herling, MS, CCC-SLP
• Bruce C Herman, M.D.
• David Benjamin Herman, D.C.
• Diana M Herman, M.D,
• Janice Hunt Herman, MS, PT
• Maisie Dawn Herman, LCSW
• Matthew T Herman, RN BSN
• Susan T Herman, MD
• Todd Christopher Herman, MD
• Ashley Hermes, MS, LAC

All providers in Phoenix, AZ · Family Nurse Practitioner in Arizona