Individual provider Active NPI

Kimberly Marie Ware, ARNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1346954807
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
317311 Issued in AZ
Practice address
2680 S Val Vista Dr Ste 187
Gilbert, AZ 85295-1674
Phone
(480) 476-8750
Fax
(480) 476-8749
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61394551 WA
Family Nurse Practitioner 363LF0000X 317311 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr Ste 187
Gilbert, AZ 85295-1674

Mailing address

2680 S Val Vista Dr Ste 187
Gilbert, AZ 85295-1674
Phone (480) 476-8750

Other practice location 1

1006 N H St
Aberdeen, WA 98520-2521
Phone (360) 532-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 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
I20230609001468 WA Practitioner - Nurse Practitioner 2567829344 Reassigns benefits to 1 organization
I20250411002569 AZ Practitioner - Nurse Practitioner 2567829344 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61394551WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital CurrentSince Apr 25, 2023 Accepting new patients
Grays Harbor Community Hospital CurrentSince Apr 25, 2023 Accepting new patients
Mohammad Reza Hojjati MD PHD PLLC CurrentSince Mar 26, 2025 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients

Locations

2680 S Val Vista Dr
Ste 187
Gilbert, AZ 85295
Phone (480) 214-5099

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032

1006 N H St
Fl 3
Aberdeen, WA 98520
Phone (360) 533-6300

Interoperability endpoints

  • Direct secure messaging: kimberly.ware.1@16575.direct.athenahealth.com

Organizations & group practices 4

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1346954807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 187",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951674",
            "telephone_number": "480-476-8750",
            "fax_number": "480-476-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 187",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951674",
            "telephone_number": "480-476-8750",
            "fax_number": "480-476-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 N H St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985202521",
            "country_code": "US",
            "telephone_number": "360-532-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61394551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "317311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.