Kimberley Sue Fahle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

279734 Issued in AZ

Practice address

5210 E Pima St Ste 200
Tucson, AZ 85712-3678

Phone

(937) 935-7461

Fax

(208) 848-5116

NPI assigned

Dec 13, 2022

Last updated

Nov 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Full Spectrum Wellness IncGroup PAC ID 6103359666, 2 clinicians

Grace Medical Group LLCGroup PAC ID 7012306624, 5 clinicians

Arizona Total Care LLCGroup PAC ID 6800128539, 18 clinicians

U2Rworthit1 LLCGroup PAC ID 8325435290, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Home Health Home health agency, Tucson, AZ, CCN 037498
• Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Arizona Total Care LLC

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1700433885
  Medicare reassignment Care Compare group NPD
• Bka PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
  • NPI 1841160272
  Medicare reassignment NPD Authorized official
• Full Spectrum Wellness Inc

  • General Practice Physician
  • Tucson, AZ
  • NPI 1447094230
  Medicare reassignment Care Compare group NPD
• Grace Medical Group LLC

  dba Uplift Wellness Wheels

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
  • NPI 1215603964
  Medicare reassignment Care Compare group NPD
• U2Rworthit1 LLC

  • Primary Care Nurse Practitioner
  • Tucson, AZ
  • NPI 1265187900
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1063743078
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1841221751
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1902847973
  Care Compare affiliation
• Emerald Healthcare Inc.

  dba Tucson Medical Home Health

  • Home Health Agency
  • Tucson, AZ
  • NPI 1972955060
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793491200000",
    "number": "1356052161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69010",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857370009",
            "telephone_number": "937-935-7461",
            "fax_number": "208-848-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123678",
            "telephone_number": "937-935-7461",
            "fax_number": "208-848-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHLE",
        "first_name": "KIMBERLEY",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Jerry Facio, CSA
• Michelle Marie Faddoul, LCSW#16997
• Haind Fadel, MD
• Amit J Fadia, M.D.
• Timothy C Fagan, MD
• Lisa Fail, PT
• Mindy Joy Fain, MD
• Dolores K. Fair, MA, LPC
• Dana Nicole Fairbank, RN
• Nancy Fairbanks

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.