Kim Krueger, RNC NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

AP6531 Issued in AZ

Practice address

13031 N 65TH Dr
Glendale, AZ 85304-1009

Phone

(623) 486-4025

NPI assigned

Apr 18, 2006

Last updated

Jun 30, 2025By 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 2

Addresses

Other names 1

• Mrs. Kim Davis Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kim.krueger.1@14294.direct.athenahealth.com

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.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1649235318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 N 65TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041009",
            "telephone_number": "623-486-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 N 65TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041009",
            "telephone_number": "623-486-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "RNC NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "AP6531",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "RN058632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "DAVIS",
            "prefix": "MRS.",
            "credential": "RNC NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Kromke, PT, DPT
• Ann Kronebusch, RD
• Makenna C Kroulik
• Amy Beth Kruchkoff, LMFT
• Kimberly Kruchowsky, P.T.
• Jessica Krupp
• Jaime Nicole Kubehl-Dykeman
• Cori Rae Kuest, RBT
• Shannon Kuettel, PA-C
• Katherine Christine Kuhlmann, CRNA, DNP

• Neonatal Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Neonatal Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.