Individual provider Active NPI

Kimberly Baker Alten, APRN, BC, MSN, FNP

  • Family Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1326175704
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5687 Issued in AZ
Practice address
287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096
Phone
(480) 677-8282
Fax
(480) 535-0962
NPI assigned
Feb 27, 2007
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-990047 CO
Family Nurse Practitioner 363LF0000X 429630 CA
Family Nurse Practitioner 363LF0000X AP5687 AZ Primary

Addresses

Primary practice location

287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096

Mailing address

2902 W Hughes Dr
Payson, AZ 85541-3455
Phone (626) 374-7672

Other practice location 1

806 S Ponderosa St
Payson, AZ 85541-5541
Phone (928) 468-8603

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
I20140916002828 AZ Practitioner - Nurse Practitioner 4284787060 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9615CAMDAcupuncturist
429630CAMDFamily Nurse Practitioner
NP-990047COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 27, 2019 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 27, 2019 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Social Work Associates LLC CurrentSince Aug 8, 2016 Accepting new patients
Western Vascular Institute PLLC PastSince Nov 1, 2017 Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

7014 E Camelback Rd
#B10089
Scottsdale, AZ 85251
Phone (480) 568-4599

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1326175704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 W HUGHES DR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413455",
            "telephone_number": "626-374-7672",
            "fax_number": "928-468-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 E HUNT HWY STE 105",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435096",
            "telephone_number": "480-677-8282",
            "fax_number": "480-535-0962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 S Ponderosa St",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415541",
            "country_code": "US",
            "telephone_number": "928-468-8603",
            "fax_number": "928-468-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTEN",
        "first_name": "KIMBERLY",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-990047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "429630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.