Active NPI
Kimberly H. Herman, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3504
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP3504 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Current | Accepting new patients | |
| Advanced Nuclear Cardiology PLLC | Current | Accepting new patients | |
| M Zuhdi Jasser MD PC | Current | 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
- https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/GCDCDA
- 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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1932290897
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Nuclear Cardiology Physician
- Phoenix, AZ
- NPI 1821189796
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1356614176
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1104382001
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.