MS. KIMBERLY K. KELCH (NPI# 1639343742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639343742 |
Entity Type | Individual |
Full Name | MS. KIMBERLY K. KELCH |
Credential | ACNP-BC |
Practice Address |
6818 W Thunderbird Rd Peoria AZ 85381-5025 |
Mailing Address |
2525 W Beryl Ave Phoenix AZ 85021-1606 |
Practice Telephone | 6235663550 |
Practice Fax Number | 6235663573 |
Mailing Telephone | 6024396784 |
Mailing Fax Number | 6023714960 |
Enumeration Date | 2008-04-18 |
Last Update Date | 2018-12-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APN13358 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9319197 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP4061 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6818 W THUNDERBIRD RD |
City | PEORIA |
State | AZ |
Zip Code | 85381-5025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649244716 | Joy Schechtman | Internal Medicine | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2006-02-15 |
1700490703 | Kathryn Miller | Physician Assistant | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2020-09-07 |
1396122545 | Barbara Sylvestre | Nurse Practitioner | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2015-04-27 |
1053725879 | Jennifer Louise Simpson | Nurse Practitioner | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2014-06-19 |
1114165073 | Elvia Angelica Berry | Registered Nurse | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2009-01-30 |
1750423844 | Sun Valley Arthritis Center Ltd | Internal Medicine | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2007-02-13 |
1306923750 | Jack Steven Tuber | Internal Medicine | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
Find all providers in zip 85381 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275171340 | James John Newman | Nurse Practitioner | 8267 W Bloomfield Rd, Peoria, AZ 85381-8191 | 2019-12-19 |
1356990774 | Patricia Ellen Williams | Nurse Practitioner | 9645 W Ross Ave, Peoria, AZ 85382-5150 | 2019-09-09 |
1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
1619373529 | Rachael Devita | Nurse Practitioner | 10052 W Patrick Ln, Peoria, AZ 85383-2890 | 2014-11-05 |
1235418385 | Matthew R Carr | Nurse Practitioner | 736 Sw Washington, Suite 2a, Peoria, IL 61602-1653 | 2011-08-08 |
1518294925 | Joy Christine Schramm | Nurse Practitioner | 1oo Ne Adams St, Peoria, IL 61629-1410 | 2009-11-05 |
1336164805 | Lisa D. Menzie | Nurse Practitioner | 7733 W North Ln, Peoria, AZ 85345-6600 | 2006-07-13 |
1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
1306443056 | Austyn Powers | Nurse Practitioner | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-10-06 |
1164045225 | Blaine Romero | Nurse Practitioner | 13640 N Plaza Del Rio Blvd Ste 340, Peoria, AZ 85381-4846 | 2020-05-24 |
Find all providers in PEORIA |
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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.