Individual provider Active NPI

Kimberly E. Taylor, DOCTOR OF NURSING P

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1447446471
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1971 Issued in AZ
Practice address
7219 N Litchfield Rd
Glendale, AZ 85309-1529
Phone
(623) 856-8653
Fax
(623) 856-8529
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1971 AZ Primary

Addresses

Primary practice location

7219 N Litchfield Rd
Glendale, AZ 85309-1529

Mailing address

7219 N Litchfield Rd
Glendale, AZ 85309-1529
Phone (623) 856-5653

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050226000031 AZ Practitioner - Nurse Practitioner 8426001793 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westview Family Medicine, P.C. CurrentSince Apr 1, 2021 Accepting new patients
Healthy Life Corporation CurrentSince Apr 29, 2024 Accepting new patients
Velo Med Urgent Care PC Past Accepting new patients
Healthy Life Past Accepting new patients

Locations

13065 W McDowell Rd
Ste A105
Avondale, AZ 85392
Phone (623) 536-6788

4338 W Thomas Rd
Ste 116
Phoenix, AZ 85031
Phone (623) 385-7900

10240 W Indian School Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 385-7900

14741 W Mountain View Blvd
Bldg 500
Surprise, AZ 85374
Phone (623) 385-7900

14741 W Mountain View Blvd
Ste 155
Surprise, AZ 85374

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1447446471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-5653",
            "fax_number": "623-856-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-8653",
            "fax_number": "623-856-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF NURSING P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.