Individual provider Active NPI

Kimberly H. Herman, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1104157742
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3504 Issued in 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
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3504 AZ Primary

Addresses

Primary practice location

3420 E Shea Blvd Ste 200266
Phoenix, AZ 85028

Mailing address

3420 E Shea Blvd Ste 200266
Phoenix, AZ 85028-3345
Phone (480) 977-6000

Other practice location 1

8111 E Thomas Rd
Suite 124
Scottsdale, AZ 85251-5844
Phone (602) 954-0444

Other practice location 2

8111 E Thomas Rd
Suite 124
Scottsdale, AZ 85251-5844
Phone (602) 954-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001359 AZ Practitioner - Nurse Practitioner 2769678788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 0446214662, 7 clinicians

Practice addresses (Care Compare)

1010 E McDowell Rd
Suite 300
Phoenix, AZ 85006-2609
Phone (602) 251-3122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3504AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Mar 4, 2021 Accepting new patients
Advanced Nuclear Cardiology PLLC Current Accepting new patients
M Zuhdi Jasser MD PC CurrentSince Oct 5, 2023 Accepting new patients
Vpa PC Past Accepting new patients
Allen Family Medicine PLLC Past Accepting new patients

Locations

18275 N 59th Ave
Ste 162
Glendale, AZ 85308
Phone (602) 547-8184

18275 N 59th Ave
Ste 162K
Glendale, AZ 85308
Phone (602) 547-8184

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 251-3122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDCDA/Endpoint/GCDCDA

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.