Kimberlee A Allred, NNP
Individual provider Active NPI Neonatal Nurse Practitioner · Murray, UT
NPI 1497774103 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1497774103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- 346325-4405 (UT)
- Practice address
- 5121 S Cottonwood St
Murray, UT 84107-5701 - Phone
- (801) 507-7508
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200921001421 | AZ | Practitioner - Nurse Practitioner | 4981845112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133406 | AZ | MD | Neonatal Nurse Practitioner |
| 346325-4405 | UT | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current |
Accepting new patients | |
| Neonatology Associates, LTD | Neonatal | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
3370 S Mercy Rd
Ste 205
Gilbert, AZ 85297
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 133406 | AZ | |
| Neonatal Nurse Practitioner | 363LN0000X | 346325-4405 | UT | Yes |
Addresses
Primary practice location
5121 S Cottonwood St
Murray, UT 84107-5701
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-7508
Other practice location 1
3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (602) 933-6345
Other practice location 2
300 W Clarendon Ave
375
Phoenix, AZ 85013-3420
Phone (602) 277-4161 ext. 31
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092702 | Medicaid | AZ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Murray, UT
- Darin Allen
- Thomas Allen
- Yolanda M Allen
- Alliance Medical Center LLC
- Samantha Allison
- Christian Almy
- Andrew James Aloia
- Diane Alonso
- Alpine Care Options
- Alpine Center LLC
All providers in Murray, UT · Neonatal Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.