Active NPI
Kimberly D. Clipp, NNP-BC
- Neonatal Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 571409
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Jul 28, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | C-APN.0107374-C-N | CO | |
| Neonatal Nurse Practitioner | 363LN0000X | 313206 | AZ | |
| Neonatal Nurse Practitioner | 363LN0000X | 571409 | TX | Primary |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
12155 FM 740
Forney, TX 75126-6629
Phone (214) 957-6790
Other practice location 1
1400 S Coulter St
Amarillo, TX 79106-1786
Phone (806) 414-9608
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041549903 | Medicaid | TX | |
| 8Y0767 | Other | TX | BLUE CROSS BLUE SHIELD |
| 041549904 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 S Coulter St
Amarillo, TX 79106-1786
PO Box
Franklin, TN 37068
PO Box
Suite 680060
Franklin, TN 37068-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 571409 | TX | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest HBP Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Past | Accepting new patients |
Locations
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600
Interoperability endpoints
- kclipp14217@direct.phhs.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
Nurse Practitioner
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1013942150
-
- Pharmacy
- Lubbock, TX
- NPI 1609810977
-
- Pediatrics Physician
- Amarillo, TX
- NPI 1386675940
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1265432652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12155 FM 740",
"city": "FORNEY",
"state": "TX",
"postal_code": "751266629",
"telephone_number": "214-957-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-742-9000"
}
],
"practiceLocations": [
{
"address_1": "1400 S Coulter St",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791061786",
"country_code": "US",
"telephone_number": "806-414-9608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLIPP",
"first_name": "KIMBERLY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "NNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "C-APN.0107374-C-N",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "313206",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "571409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041549903",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8Y0767",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041549904",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.