Individual provider Active NPI

Kimberly Anne Quiring, PA

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1689675522
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7716 Issued in AZ
Practice address
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone
(480) 800-4890
Fax
(800) 427-4766
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7716 AZ Primary

Addresses

Primary practice location

2201 W Fairview St Ste 1
Chandler, AZ 85224-4712

Mailing address

2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

Other practice location 1

3308 N Higley Rd Ste 103
Mesa, AZ 85215-9781
Phone (480) 800-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060901000304 TN Practitioner - Physician Assistant 8921996018 Reassigns benefits to 1 organization
I20220902001352 AZ Practitioner - Physician Assistant 8921996018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates of the East Valley PLCGroup PAC ID 1850607151, 12 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

2201 W Fairview St
Suite 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

2225 W Southern Ave
Mesa, AZ 85202-4716
Phone (623) 888-3502

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7716AZMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: kimberly.quiring.1@30730.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1689675522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "800-427-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "800-427-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 N Higley Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852159781",
            "country_code": "US",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIRING",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.