Active NPI
Kimberly Lynn Hart, FNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2368
- Practice address
- 3411 N 5TH Ave Ste 301
Phoenix, AZ 85013-3812 - Phone
- (602) 374-4101
- Fax
- (602) 441-0522
- NPI assigned
- Jul 21, 2006
- 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 | AP2368 | AZ | Primary |
Addresses
Primary practice location
3411 N 5TH Ave Ste 301
Phoenix, AZ 85013-3812
Mailing address
9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101
Other practice location 1
9192 W Union Hills Dr
Peoria, AZ 85382-8208
Phone (602) 374-4101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128455 | Medicaid | AZ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2368 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Vein and Endovascular LLC | Current | Accepting new patients | |
| Foot Envy, LLC | Current | Accepting new patients | |
| Comprehensive Interventional Care Centers, PLLC | Current | Accepting new patients | |
| Sonoran Vein and Endovascular LLC | Current | Accepting new patients | |
| Comprehensive Interventional Care Centers, PLLC | Current | Accepting new patients | |
| Lpwallmd PC | Past | Accepting new patients | |
| Milagro Vein Solutions LLC | Past | Accepting new patients |
Locations
421 E Cottonwood Ln
Casa Grande, AZ 85122
2301 N 4th St
Flagstaff, AZ 86004
Phone (928) 719-7400
838 W Elliot Rd
#101
Gilbert, AZ 85233
14044 W Camelback Rd
Ste 226
Litchfield Pk, AZ 85340
Phone (623) 233-1050
2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 374-4410
9192 W Union Hills Dr
Ste 100
Peoria, AZ 85382
9192 W Union Hills Dr
Peoria, AZ 85382
333 W Thomas Rd
Ste 208A
Phoenix, AZ 85013
Phone (480) 300-4646
333 W Thomas Rd
Ste 208B
Phoenix, AZ 85013
3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990
3625 Crossings Dr
Ste B
Prescott, AZ 86305
Phone (928) 277-0593
3101 Clearwater Dr
Ste C
Prescott, AZ 86305
Phone (928) 202-4143
222 S Summit Ave
Ste 3
Prescott, AZ 86303
Phone (928) 250-7700
15425 N Greenway Hayden Loop
Ste A300
Scottsdale, AZ 85260
Phone (480) 607-1124
126 S Coronado Dr
Sierra Vista, AZ 85635
6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460
6565 E Carondelet Dr
Ste 335
Tucson, AZ 85710
Phone (520) 721-2728
2055 W Hospital Dr
Ste 145
Tucson, AZ 85704
Phone (520) 469-8147
1815 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 628-1400
2145 W 28th St
Ste B
Yuma, AZ 85364
Phone (928) 328-8338
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Vascular & Interventional Radiology Physician
- Gilbert, AZ
- NPI 1568803047
-
- Vascular Surgery Physician
- Peoria, AZ
- NPI 1790049617
-
- Foot & Ankle Surgery Podiatrist
- Tempe, AZ
- NPI 1902644594
-
- Foot & Ankle Surgery Podiatrist
- Goodyear, AZ
- NPI 1386384790
-
- Ambulatory Surgical Clinic/Center
- Peoria, AZ
- NPI 1699666255
-
- Vascular Surgery Physician
- Scottsdale, AZ
- NPI 1457168643
-
- Vascular Surgery Physician
- Santa Fe, NM
- NPI 1396799110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1184645673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9192 W UNION HILLS DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828208",
"telephone_number": "602-374-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 N 5TH AVE STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133812",
"telephone_number": "602-374-4101",
"fax_number": "602-441-0522"
}
],
"practiceLocations": [
{
"address_1": "9192 W Union Hills Dr",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853828208",
"country_code": "US",
"telephone_number": "602-374-4101",
"fax_number": "602-441-0522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128455",
"state": "AZ"
}
],
"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 Dec 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.