Kathleen Christine Valencia

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Practice address

10330 S. Palominas Road
Hereford, AZ 85615

Phone

(520) 366-0097

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2007.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1477620532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 S. PALOMINAS ROAD",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "85615",
            "telephone_number": "520-366-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 S. PALOMINAS ROAD",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "85615",
            "telephone_number": "520-366-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "KATHLEEN",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "868979",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinod Kumar Singh, MD
• Sharon Patricia Smith, LPC
• Stacy C Smith, MD
• Gary Taylor
• Karen Thomas
• Jennifer Rose Vandeweg, LMSW
• Vista Care LLC
• Sandra West, R.N.
• Melissa Joy Zuercher-Binkerd, C-PED

• All providers in Hereford, AZ
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.