Individual provider Active NPI

Kimberly J Isaac, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1659611390
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4824 Issued in AZ
Practice address
10350 E Drexel Rd Unit 110
Tucson, AZ 85747-9409
Phone
(520) 324-1727
Fax
(520) 324-1700
NPI assigned
Feb 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 AP4824 AZ Primary

Addresses

Primary practice location

10350 E Drexel Rd Unit 110
Tucson, AZ 85747-9409

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4100

Other practice location 1

70 N Harrison Rd
Tucson, AZ 85748
Phone (520) 324-4403

Other practice location 2

2424 N Wyatt Dr Ste 140
Tucson, AZ 85712-6115
Phone (520) 324-4690

Other practice location 3

10350 E Drexel Rd Unit 170
Tucson, AZ 85747-9411
Phone (520) 324-8070

Other practice location 4

9356 E Rita Rd Ste 180
Tucson, AZ 85747-6318
Phone (520) 324-4499

Other identifiers 2

IdentifierTypeStateIssuer
829457MedicaidAZ
AP4824OtherAZLICENSE

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
I20130717000505 AZ Practitioner - Nurse Practitioner 3971743824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

70 N Harrison Rd
Tucson, AZ 85748-3260
Phone (520) 324-4403

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients
TMC Urgent Care CurrentSince Jan 1, 2021 Accepting new patients
TMC Urgent Care PastSince Aug 4, 2024 Accepting new patients

Locations

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

70 N Harrison Rd
Tucson, AZ 85748
Phone (520) 324-4403

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

9356 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1659611390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4100",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 E DREXEL RD UNIT 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479409",
            "telephone_number": "520-324-1727",
            "fax_number": "520-324-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 N Harrison Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85748",
            "country_code": "US",
            "telephone_number": "520-324-4403",
            "fax_number": "520-324-1409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 N Wyatt Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126115",
            "country_code": "US",
            "telephone_number": "520-324-4690",
            "fax_number": "520-324-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Unit 170",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479411",
            "country_code": "US",
            "telephone_number": "520-324-8070",
            "fax_number": "520-324-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9356 E Rita Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857476318",
            "country_code": "US",
            "telephone_number": "520-324-4499",
            "fax_number": "520-324-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829457",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP4824",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.