Individual provider Active NPI

Kimberly Underwood, RN

  • College Health Registered Nurse
  • Tucson, AZ
National Provider Identifier
1235065210
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
28129402C Issued in IN
Practice address
1224 E Lowell St
Tucson, AZ 85721-0095
Phone
(520) 621-6493
NPI assigned
Jun 18, 2026
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 28129402C IN Primary

Addresses

Primary practice location

1224 E Lowell St
Tucson, AZ 85721-0095

Mailing address

330 E Las Milpas
Green Valley, AZ 85614-2916
Phone (812) 325-1463

Other names 1

  • Kim Underwood Other name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1235065210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E LAS MILPAS",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142916",
            "telephone_number": "812-325-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E LOWELL ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210095",
            "telephone_number": "520-621-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "IN",
            "license": "28129402C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "UNDERWOOD",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.