Individual provider Active NPI

Kimberly Mohr Schalnat Rowland, NP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1700922358
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1463 Issued in AZ
Practice address
8662 E Hannibal St
Mesa, AZ 85207-4103
Phone
(704) 770-5409
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211196 NP GA
Family Nurse Practitioner 363LF0000X AP1463 AZ Primary

Addresses

Primary practice location

8662 E Hannibal St
Mesa, AZ 85207-4103

Mailing address

8662 E Hannibal St
Mesa, AZ 85207-4103
Phone (704) 770-5409

Other practice location 1

1061 Dowdy Rd
Athens, GA 30606-5700
Phone (706) 621-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1463AZMDFamily Nurse Practitioner
211196 NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgeoncare Physicians of Georgia, LLC Past Accepting new patients
Reddy Medical Group LLC Family Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22260/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700922358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8662 E HANNIBAL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074103",
            "telephone_number": "704-770-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8662 E HANNIBAL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074103",
            "telephone_number": "704-770-5409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Dowdy Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306065700",
            "country_code": "US",
            "telephone_number": "706-621-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHALNAT ROWLAND",
        "first_name": "KIMBERLY",
        "middle_name": "MOHR",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "211196 NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.