Active NPI
Kimberly A Hill, DNP APRN-CNP, FNP-BC
- Family Nurse Practitioner
- T Or C, NM
National Provider Identifier
1861961930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 54590
- Practice address
- 1960 N Date St
T Or C, NM 87901-3701 - Phone
- (575) 267-3280
- Fax
- (575) 267-1747
- NPI assigned
- Nov 19, 2018
- Last updated
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 54590 | NM | Primary |
Addresses
Primary practice location
1960 N Date St
T Or C, NM 87901-3701
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54590 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Archer Health Center | Current | Accepting new patients | |
| Ben Archer Health Center | Current | Accepting new patients |
Locations
1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662
Interoperability endpoints
- compassioncareclinicpc.kimberlyhill@147317.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Truth Or Consequences, NM
- NPI 1871528505
-
dba Ben Archer Health Center Deming School Base
- Federally Qualified Health Center (FQHC)
- Deming, NM
- NPI 1194443135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1861961930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "HATCH",
"state": "NM",
"postal_code": "879370370",
"telephone_number": "575-267-3280",
"fax_number": "575-267-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 N DATE ST",
"city": "T OR C",
"state": "NM",
"postal_code": "879013701",
"telephone_number": "575-267-3280",
"fax_number": "575-267-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DNP APRN-CNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "54590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in T Or C, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.