Active NPI
Kimberly Scott-Freeman, RDH
- Dental Hygienist
- Cottonwood, AZ
National Provider Identifier
1174071047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H007619
- Practice address
- 51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610 - Phone
- (928) 639-8132
- Fax
- (866) 274-8919
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H007619 | AZ | Primary |
Addresses
Primary practice location
51 Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610
Mailing address
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000
Other practice location 1
3212 N Windsong Dr Ste 200
Prescott Valley, AZ 86314-2255
Phone (928) 583-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H007619 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1174071047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 COMMERCE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"telephone_number": "928-583-1000",
"fax_number": "866-323-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BRIAN MICKELSEN PKWY",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263610",
"telephone_number": "928-639-8132",
"fax_number": "866-274-8919"
}
],
"practiceLocations": [
{
"address_1": "3212 N Windsong Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863142255",
"country_code": "US",
"telephone_number": "928-583-1000",
"fax_number": "866-751-4157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT-FREEMAN",
"first_name": "KIMBERLY",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H007619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.