DR. AUDREY RUSSELL KIBBLE (NPI# 1164589974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164589974 |
| Entity Type | Individual |
| Full Name | DR. AUDREY RUSSELL KIBBLE |
| Credential | DNP, FNP-C |
| Practice Address |
140 W Speedway Blvd Ste 100 Tucson AZ 85705-7698 |
| Practice Telephone | 5206287871 |
| Practice Fax Number | 5202058461 |
| Mailing Telephone | 5206287871 |
| Mailing Fax Number | 5202058461 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2016-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN026677 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PIMA HEALTH SYSTEMS | 557902 | 01 |
| AZ | MERCY CARE PLAN | 557902001 | 01 |
| AZ | 557902 | 05 |
| Street Address |
140 W SPEEDWAY BLVD STE 100 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-7698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528097896 | Catholic Community Services of Southern Arizona, Inc. | Voluntary or Charitable | 140 W Speedway Blvd, Suite 230, Tucson, AZ 85705-7686 | 2006-06-30 |
| 1124579701 | Desiderio Abeyta | Dietitian, Registered | 140 W Speedway Blvd, Suite 100, Tucson, AZ 85705-7686 | 2016-10-19 |
| 1376994467 | Kaye E. Hunt | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2016-06-29 |
| 1023409760 | St Elizabeths Health Center Inc | Clinic/Center | 140 W Speedway Blvd, Ste #100, Tucson, AZ 85705-7686 | 2015-02-17 |
| 1710398110 | Ana Luisa Rosales | Internal Medicine | 140 W Speedway Blvd, Department of Internal Medicine, Tucson, AZ 85705-7698 | 2014-05-19 |
| 1235560830 | St Elizabeths Health Center Inc | Clinic/Center | 140 W Speedway Blvd, Suite #100, Tucson, AZ 85705-7698 | 2013-12-06 |
| 1285061317 | Joseph Michael Ponce | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2013-10-03 |
| 1831534171 | Elizabeth H. Christensen | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2013-04-30 |
| 1457607970 | Kathryn Rae Conway | Social Worker | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2012-08-02 |
| 1366798852 | Patricia A York | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2012-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023339 | Flor Avila Fimbres | Nurse Practitioner | 5418 W Placita Del Risco, Tucson, AZ 85745-9550 | 2020-11-04 |
| 1225637184 | Amy Chan Matchett | Nurse Practitioner | 2754 W Checkerspot Dr, Tucson, AZ 85741-5255 | 2020-10-21 |
| 1851924179 | Sip Home Systems - Tucson LLC | Nurse Practitioner | 7620 N Hartman Ln Ste 162, Tucson, AZ 85743-7484 | 2020-02-14 |
| 1538710330 | Emily Dantes | Nurse Practitioner | 1671 W Ina Rd Ste 101, Tucson, AZ 85704-1928 | 2019-09-23 |
| 1669939641 | Arlly Regoso | Nurse Practitioner | 2830 N Swan Rd Ste 180, Tucson, AZ 85712-6301 | 2019-02-26 |
| 1457829004 | Niyatiben Patel | Nurse Practitioner | 6814 S Twinberry Dr, Tucson, AZ 85756-5152 | 2018-11-12 |
| 1568959807 | Ama Medical Services Mohamed Coulibaly Dit Fall Sole Mbr | Nurse Practitioner | 11069 N Mountain Breeze Dr, Tucson, AZ 85737 | 2018-04-20 |
| 1932613957 | Betty Jean Blangsted | Nurse Practitioner | 7840 E Calle De La Escarpa, Tucson, AZ 85750-2313 | 2017-11-29 |
| 1194173112 | O'neill Medical Group, P.C. | Nurse Practitioner | 11177 N Oracle Rd Apt 10302, Tucson, AZ 85737-5651 | 2016-05-31 |
| 1023470069 | Deanna Collier | Nurse Practitioner | 8610 E Old Spanish Trl Apt 117, Tucson, AZ 85710-4328 | 2016-03-28 |
| Find all providers in TUCSON | ||||
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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.