Individual provider Active NPI

Kimberly Ann Adams, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1265646186
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2623 Issued in AZ
Practice address
3003 N 3Rd St
Phoenix, AZ 85012-3031
Phone
(602) 462-1132
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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 AP2623 AZ Primary

Addresses

Primary practice location

3003 N 3Rd St
Phoenix, AZ 85012-3031

Mailing address

3003 N Central Ave
Phoenix, AZ 85012-2902
Phone (602) 462-1132

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
I20081111000218 AZ Practitioner - Nurse Practitioner 5991864506 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Hospitalist Associates LLCGroup PAC ID 3577961606, 17 clinicians

Practice addresses (Care Compare)

255 W Brown Rd
Mesa, AZ 85201-3404
Phone (480) 833-3988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Hospitalist Associates LLC CurrentSince Apr 1, 2025 Accepting new patients
Pophealthcare Medical Services of Az, PC Nurse Practitioner CurrentSince Jul 5, 2019 Accepting new patients
Pophealthcare Medical Services of Az, PC Family CurrentSince Jul 5, 2019 Accepting new patients

Locations

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

15810 S 42nd St
Phoenix, AZ 85048
Phone (480) 759-0358

3339 N Drinkwater Blvd
Scottsdale, AZ 85251
Phone (480) 296-7169

51 W 3rd St
Ste 500
Tempe, AZ 85281
Phone (480) 237-5098

2141 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 237-5098

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1265646186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-462-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123031",
            "telephone_number": "602-462-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.