Individual provider Active NPI

Kimberly Jane Baker, NP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1538637657
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222456 Issued in AZ
Practice address
6470 S Higley Rd
Gilbert, AZ 85298-4341
Phone
(615) 425-4200
NPI assigned
Nov 6, 2018
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222456 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 222456 AZ
Registered Nurse 163W00000X RN146310 AZ

Addresses

Primary practice location

6470 S Higley Rd
Gilbert, AZ 85298-4341

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Other practice location 1

2210 S Mill Ave Ste 8
Tempe, AZ 85282-2153
Phone (480) 766-6630

Other practice location 2

8601 N Black Canyon Hwy Ste 111
Phoenix, AZ 85021-4155
Phone (602) 888-4464

Other practice location 3

2039 S Mill Ave Ste C
Rm 22
Tempe, AZ 85282
Phone (602) 888-4464

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
I20190826000874 AZ Practitioner - Nurse Practitioner 1456689785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN146310AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Aug 24, 2023 Accepting new patients
Verity Health, LLC CurrentSince May 17, 2020 Accepting new patients

Locations

6470 S Higley Rd
Gilbert, AZ 85298
Phone (480) 809-2409

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

8601 N Black Canyon Hwy
Ste 111
Phoenix, AZ 85021
Phone (602) 888-4464

2039 S Mill Ave
Ste C
Tempe, AZ 85282
Phone (602) 888-4464

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1538637657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984341",
            "telephone_number": "615-425-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 S Mill Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852822153",
            "country_code": "US",
            "telephone_number": "480-766-6630",
            "fax_number": "480-907-1691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8601 N Black Canyon Hwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214155",
            "country_code": "US",
            "telephone_number": "602-888-4464",
            "fax_number": "949-655-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 S Mill Ave Ste C",
            "address_2": "Rm 22",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "85282",
            "country_code": "US",
            "telephone_number": "602-888-4464",
            "fax_number": "949-655-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "NP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222456",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "222456",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN146310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.