Kimberly Ann Whitehill, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8027 Issued in AZ

Practice address

17301 E Spring Valley Rd Ste F
Spring Valley, AZ 86333

Phone

(928) 632-4909

Fax

(928) 632-4973

NPI assigned

Sep 21, 2010

Last updated

Jun 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Carelock, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayer, AZ
  • NPI 1972170322
  NPD (past)
• Robert E Mutterperl DO SC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1326286915
  NPD (past)
• Bacchus PC

  dba P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1407164767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17301 E SPRING VALLEY RD STE F",
            "city": "SPRING VALLEY",
            "state": "AZ",
            "postal_code": "863334263",
            "telephone_number": "928-632-4909",
            "fax_number": "928-632-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17301 E SPRING VALLEY RD STE F",
            "city": "SPRING VALLEY",
            "state": "AZ",
            "postal_code": "86333",
            "telephone_number": "928-632-4909",
            "fax_number": "928-632-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHILL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "AP8027",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z205470",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "RN193646",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Horizon Dental Group Spring Valley
• Emily Lyford, M.A.
• New Day Rising
• Emily Catherine Norman, NP
• Spring Ridge Academy

• Family Nurse Practitioner in Spring Valley, AZ
• Providers in Spring Valley, 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 Jun 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.