Individual provider Active NPI

Kimberly Lynn Hart, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1184645673
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2368 Issued in AZ
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

Updated by the provider on Dec 23, 2025

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 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

IdentifierTypeStateIssuer
128455MedicaidAZ

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
I20061010000049 AZ Practitioner - Nurse Practitioner 7315943677 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2368AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Vein and Endovascular LLC CurrentSince Dec 11, 2023 Accepting new patients
Foot Envy, LLC CurrentSince Apr 1, 2022 Accepting new patients
Comprehensive Interventional Care Centers, PLLC CurrentSince Jul 16, 2023 Accepting new patients
Sonoran Vein and Endovascular LLC CurrentSince Dec 11, 2023 Accepting new patients
Comprehensive Interventional Care Centers, PLLC CurrentSince Jul 16, 2023 Accepting new patients
Lpwallmd PC PastSince Dec 15, 2024 Accepting new patients
Milagro Vein Solutions LLC PastSince Jul 1, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.