Individual provider Active NPI

Kimberly D. Clipp, NNP-BC

  • Neonatal Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1265432652
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
571409 Issued in TX
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

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
041549903MedicaidTX
8Y0767OtherTXBLUE CROSS BLUE SHIELD
041549904MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250930003485 AZ Practitioner - Nurse Practitioner 6800392713 Reassigns benefits to 1 organization
I20260317004730 TX Practitioner - Nurse Practitioner 6800392713 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
571409TXMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC Nurse Practitioner CurrentSince Aug 17, 2025 Accepting new patients
Texas Tech University Health Sciences Center Amarillo CurrentSince Feb 17, 2026 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Feb 17, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.