Individual provider Active NPI

Kim L Flanders, CNM

  • Advanced Practice Midwife
  • Phoenix, AZ
National Provider Identifier
1861469520
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NP4243 Issued in AZ
Practice address
6707 N 19TH Ave Ste 222
Phoenix, AZ 85015-1106
Phone
(602) 283-3668
Fax
(602) 258-1710
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 626869 TX
Advanced Practice Midwife 367A00000X NP4243 AZ Primary

Addresses

Primary practice location

6707 N 19TH Ave Ste 222
Phoenix, AZ 85015-1106

Mailing address

6707 N 19TH Ave Ste 222
Phoenix, AZ 85015-1106
Phone (602) 283-3668

Other names 1

  • Kim L Hunt Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120509000498 AZ Practitioner - Certified Nurse Midwife (CNM) 7416119318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NP4243AZMDAdvanced Practice Midwife
626869TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Medical Center Phoenix Past Accepting new patients

Organizations & group practices 1

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1861469520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE STE 222",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151106",
            "telephone_number": "602-283-3668",
            "fax_number": "602-258-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE STE 222",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151106",
            "telephone_number": "602-283-3668",
            "fax_number": "602-258-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANDERS",
        "first_name": "KIM",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "626869",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "NP4243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "HUNT",
            "middle_name": "L",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.