KIMBERLY A WALLS


Address: 19829 N 27th Ave, Phoenix, AZ 85027-4001
Phone: 6235164400

KIMBERLY A WALLS (NPI# 1760996128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760996128
Entity Type Individual
Full Name KIMBERLY A WALLS
Credential MSN,FNP
Practice Address 19829 N 27th Ave
Phoenix
AZ 85027-4001
Mailing Address 9416 W Colter St
Glendale
AZ 85305-3373
Practice Telephone 6235164400
Practice Fax Number 6235164401
Enumeration Date 2017-11-21
Last Update Date 2018-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0000X Registered Nurse
Specialization: General Practice
146118 AZ Nursing Service Providers
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
219280 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
9416 W Colter St, Glendale, AZ 85305 6232614051

Office Location

Street Address 19829 N 27TH AVE
City PHOENIX
State AZ
Zip Code 85027-4001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295716868 Julie Hessler Pediatrics 19829 N 27th Ave, Phoenix, AZ 85027-4001 2005-11-09
1427657238 Kevin C Smith Pharmacist 19829 N 27th Ave, Phoenix, AZ 85027-4001 2020-10-22
1265031108 Maricopa Surgical Assist Physician Assistant 19829 N 27th Ave, Phoenix, AZ 85027-4001 2020-10-21
1174144885 Marjan Ashtiani Nurse Practitioner 19829 N 27th Ave, Phoenix, AZ 85027-4001 2020-05-04
1104477835 Liudmila Tamarchina Nurse Practitioner 19829 N 27th Ave, Phoenix, AZ 85027-4001 2019-09-24
1922657121 Tiffany Jean Colorado Nurse Practitioner 19829 N 27th Ave, Phoenix, AZ 85027-4001 2019-09-10
1780233387 Lee Louis Cavellini Occupational Therapist 19829 N 27th Ave, Phoenix, AZ 85027-4001 2019-09-05
1841843497 Khanh Thi Le Nurse Practitioner 19829 N 27th Ave, Phoenix, AZ 85027-4001 2019-07-23
1093294878 Dawn Nicole Nichols Registered Nurse 19829 N 27th Ave, Phoenix, AZ 85027-4001 2018-08-12
1841782265 Diana Olivera Registered Nurse 19829 N 27th Ave, Phoenix, AZ 85027 2018-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306312 Ashley Nicole Felipe Registered Nurse 25700 N 21st Ave, Phoenix, AZ 85027 2020-08-10
1942784376 Crystal Rodriguez Dentist 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 2018-09-21
1790284776 Lydia Kuuipo Chong Nurse Practitioner 20414 N 27th Ave #300, Phoenix, AZ 85027 2018-02-06
1457867004 Kristi Marie Mathews Nurse Practitioner 19829 N 29th Avenue, Phoenix, AZ 85027 2017-12-19
1710348362 The Empower House, LLC Community Based Residential Treatment Facility, Mental Illness 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 2016-03-10
1972979656 Dr Daniel H Yohannes D.d.s., PC Dentist 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 2015-08-17
1013346857 Dentistry At 35th Avenu Dentist 18635 N 35th Avenue, Phoenix, AZ 85027 2013-11-02
1437592102 Ammar Alobaidy Psychiatry & Neurology 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 2013-04-12
1588900021 Jill Elizabeth Maroscia Social Worker 19636 N 27th Ave #106, Phoenix, AZ 85027 2013-01-02
1124394515 Sfjg Holdings LLC Dentist 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 2012-03-29
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508496167 Claudia Macias Family Medicine 4350 N 19th Ave Ste 3, Phoenix, AZ 85015-4602 2020-01-23
1992353312 Az Premier Mobile Providers Family Medicine 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016-2170 2019-08-28
1083914261 Kortni R Jones Family Medicine 301 W Mcdowell Rd, Phoenix, AZ 85003-1214 2010-10-22
1700022175 Herber I. Schuck Family Medicine 6767 N 7th St Unit 220, Phoenix, AZ 85014-1011 2009-01-06
1669625976 Richard Palmer Timmons Family Medicine 3131 E Air Ln, Honeywell Ms/158, Phoenix, AZ 85034-2701 2008-10-30
1730346867 David W. Campbell Family Medicine 3800 E Lincoln Dr Unit 28, Phoenix, AZ 85018-1020 2008-05-16
1831392265 Joseph Sherman Family Medicine 5451 E Herrera Dr, Phoenix, AZ 85054-7159 2007-06-05
1851501258 Antonio Casino Sabal Sr. Family Medicine 18325 N Allied Way Ste 105, Phoenix, AZ 85054-3106 2007-05-23
1952347957 Saba W Tesfamariam Family Medicine 432 N 44th St, Suite 310, Phoenix, AZ 85008-7601 2006-06-20
1740542711 Jean Lee Nelson Family Medicine 2000 W Bethany Home Rd, Abrazo Central Family Medicine Residency, Phoenix, AZ 85015-2443 2012-06-14
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Competitor

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City PHOENIX
Zip Code 85027

Improve Information

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Dataset Information

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.

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