Active NPI
Kimberleigh Telling, FNP-C
- Family Nurse Practitioner
- Prescott Valley, AZ
National Provider Identifier
1306221114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7983
- Practice address
- 3188 N Windsong Dr Ste a
Prescott Valley, AZ 86314-1220 - Phone
- (928) 775-9430
- Fax
- (928) 775-9431
- NPI assigned
- Jul 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7983 | AZ | Primary |
Addresses
Primary practice location
3188 N Windsong Dr Ste a
Prescott Valley, AZ 86314-1220
Mailing address
1760 E River Rd Ste 350
Tucson, AZ 85718-5999
Phone (520) 519-7775
Other practice location 1
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000
Other practice location 2
1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067532 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7983 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Yavapai | Current | Accepting new patients |
Locations
1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Prescott, AZ
- NPI 1952501389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306221114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E RIVER RD STE 350",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185999",
"telephone_number": "520-519-7775",
"fax_number": "520-519-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 N WINDSONG DR STE A",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141220",
"telephone_number": "928-775-9430",
"fax_number": "928-775-9431"
}
],
"practiceLocations": [
{
"address_1": "1090 COMMERCE DR",
"address_purpose": "LOCATION",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"country_code": "US",
"telephone_number": "928-583-1000",
"fax_number": "866-323-8458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1090 COMMERCE DR",
"address_purpose": "LOCATION",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053700",
"country_code": "US",
"telephone_number": "928-583-1000",
"fax_number": "866-323-8458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TELLING",
"first_name": "KIMBERLEIGH",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067532",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
- Donna Dellinger Taylor
- Theresa Ann Taylor, RN
- Margaret Tays, SPEECH THERAPIST
- Tea and Empathy, PLLC
- Richard Telck, PHARMD
- Neil Harvey Tewes, RPH
- The Evangelical Lutheran Good Samaritan Society
- The Highway: a Self-Harm and Suicide Prevention Service
- The Pines at Prescott Valley LLC
- The Servant Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.