Individual provider Active NPI

Kimberly Harken, NP-C

  • Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1114539335
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
246498 Issued in AZ
Practice address
2270 S Ridgeview Dr Ste 300
Yuma, AZ 85364-8866
Phone
(928) 329-4771
Fax
(928) 329-4886
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 246498 AZ Primary

Addresses

Primary practice location

2270 S Ridgeview Dr Ste 300
Yuma, AZ 85364-8866

Mailing address

2270 S Ridgeview Dr Ste 300
Yuma, AZ 85364-8866
Phone (928) 329-4771

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
I20201005001868 AZ Practitioner - Nurse Practitioner 4486071370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Valley Anesthesia, PLLCGroup PAC ID 7810045259, 4 clinicians

Practice addresses (Care Compare)

2270 S Ridgeview Dr
Suite 300
Yuma, AZ 85364-8866
Phone (928) 329-4771

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Valley Anesthesia, PLLC CurrentSince May 23, 2020 Accepting new patients

Locations

2270 S Ridgeview Dr
Ste 300
Yuma, AZ 85364
Phone (928) 247-7674

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1114539335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR STE 300",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648866",
            "telephone_number": "928-329-4771",
            "fax_number": "928-329-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DR STE 300",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648866",
            "telephone_number": "928-329-4771",
            "fax_number": "928-329-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKEN",
        "first_name": "KIMBERLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "246498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.