KIMBERLEY J. SCOTT (NPI# 1386613883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386613883 |
| Entity Type | Individual |
| Full Name | KIMBERLEY J. SCOTT |
| Credential | PA |
| Practice Address |
810 Ainsworth Dr Ste A Prescott AZ 86301-1612 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 9287715548 |
| Practice Fax Number | 9287715549 |
| Mailing Telephone | 9287595998 |
| Mailing Fax Number | 9284582039 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6382 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS | 8941182 | 01 |
| WA | 8450082 | 05 | |
| RR MEDICARE | P00336906 | 01 | |
| WA | LABOR & IND | 0207736 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881860898 | Kimberley Sue Scott | Physical Therapist | 4502 Medical Dr # 78229, San Antonio, TX 78229-4402 | 2008-04-30 |
| Street Address |
810 AINSWORTH DR STE A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780654988 | Shayan Alam | Specialist | 810 Ainsworth Dr, Prescott, AZ 86301-1612 | 2006-01-23 |
| 1417256447 | Yavapai Surgical PC | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2011-03-16 |
| 1659609238 | Prescott Surgical Clinic Pa | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2009-11-19 |
| 1003822875 | Mark Thomas Worthington | Internal Medicine | 810 Ainsworth Dr, Prescott, AZ 86301-1612 | 2006-07-31 |
| 1215992730 | Clifford Michael Morgan | Surgery | 810 Ainsworth Dr, Prescott, AZ 86301-1612 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467864470 | John Iverson | Physician Assistant | 743 Miller Valley Rd, Prescott, AZ 86301 | 2014-05-24 |
| 1639198781 | Keith A Plamondon | Physician Assistant | 802 Ainsworth Dr Ste B&c, Prescott, AZ 86301-1623 | 2006-07-19 |
| 1407194954 | Jimmie S Ward Sr. | Physician Assistant | 125 Washington Ave, Prescott, MI 48756-5117 | 2013-01-17 |
| 1518217447 | Jennifer Cougill | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2012-09-18 |
| 1659558849 | Oaklawn Lc | Physician Assistant | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 | 2008-01-30 |
| 1437347804 | Melinda Ann Rawcliffe | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1601 | 2007-10-10 |
| 1043243801 | Matthew Alexander Namihas | Physician Assistant | 802 Ainsworth Dr, Suite A, Prescott, AZ 86301-1623 | 2006-07-07 |
| 1720028095 | Jeremy D. Platt | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1618 | 2006-06-07 |
| 1659338507 | Rosemarie S Vedda | Physician Assistant | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2006-04-26 |
| 1477513562 | Don K Larue | Physician Assistant | 500 Hwy 89 North, Prescott, AZ 86313 | 2006-03-24 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.