Kimberly Shipman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AZ45097 Issued in AZ

Practice address

3833 E Thomas Rd Ste A2
Phoenix, AZ 85018-7523

Phone

(602) 671-7066

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Alabama School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Oak Street Health Physicians Group of Arizona PLLC

  • Primary Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1063083590

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Anne-Marie Reed,D.O.,P.L.L.C.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760632855
  NPD (past)
• Physician Group of Arizona Inc

  • Specialist
  • Phoenix, AZ
  • NPI 1518137520
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1376707471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "773-759-7550",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 E THOMAS RD STE A2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187523",
            "telephone_number": "602-671-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17218 N 72nd Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088580",
            "country_code": "US",
            "telephone_number": "623-334-8670 x127",
            "fax_number": "623-334-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ45097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708017",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "AZ45097",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Shiple, PH.D.
• Laura Eileen Shipley, M.S., CCC-SLP
• Thomas Shipley
• Alicia L Shipman, LCSW
• Brandon James Shipman
• Laura N Shipman
• Troy Joseph Shipman, DO
• Samara Shipon, DO
• Shirah Surgical PLLC
• Shannon Keenan Shirav, RMA

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.