Kimberley Melissa Puthoff, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09200980 Issued in AZ

Practice address

8742 E Via de Sereno
Scottsdale, AZ 85258-4030

Phone

(480) 297-7407

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By 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 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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

We Care Mobile Health PLLCGroup PAC ID 1658730221, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Home Care & Hospice Hospice, Glendale, AZ, CCN 031711

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• W.E. Care Mobile Health PLLC

  • General Practice Physician
  • Queen Creek, AZ
  • NPI 1134820780

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Integrated Healthcare Mobile Solutions, LLC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1255749982
  Medicare reassignment NPD
• MMG LLC

  dba Mobile Medical Group

  • Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1811614225
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1740858950
  NPD

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

• Canyon Arizona Home Care & Hospice LLC

  dba Canyon Home Care & Hospice

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1306485313
  Care Compare affiliation

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1437755246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 E VIA DE SERENO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584030",
            "telephone_number": "480-297-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8742 E VIA DE SERENO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584030",
            "telephone_number": "480-297-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHOFF",
        "first_name": "KIMBERLEY",
        "middle_name": "MELISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F09200980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Courtney Pursley, CRNA
• Steve Patrick Purtell, DDS
• Briana Pusateri
• Push Through, LLC (Push Through Performance)
• Put Your Feet First, PC
• Heather Putnam, PA-C
• Pvho Radonc & Urology PLLC
• Gina Pyron
• Talha Qaisar
• Tariq Qamar, M.D.

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, 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 Dec 7, 2020; 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.