DR. KIMBERLY SHIPMAN (NPI# 1376707471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376707471 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY SHIPMAN |
| Credential | M.D. |
| Practice Address |
17218 N 72nd Dr Suite 100 Glendale AZ 85308-8580 |
| Mailing Address |
5110 E Southern Ave Ste 105 Mesa AZ 85206-2790 |
| Practice Telephone | 6233348670 |
| Practice Fax Number | 6233348675 |
| Mailing Telephone | 6233348670 |
| Mailing Fax Number | 6233348675 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AZ45097 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE MEDICAL LICENSE | AZ45097 | 01 |
| AZ | 708017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083734222 | Kimberly Shipman | Acupuncturist | 73140 Highway 111 Ste 8, Palm Desert, CA 92260-3927 | 2007-03-30 |
| 1558458604 | Kimberly Shipman | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-09 |
| Street Address |
17218 N 72ND DR SUITE 100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306915509 | West Valley Urgent Care, L.L.C. | Clinic/Center | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8562 | 2006-11-06 |
| 1134573793 | Carol Barbanell | Nurse Practitioner | 17218 N 72nd Dr, Ste 100, Glendale, AZ 85308-8580 | 2016-04-20 |
| 1255704797 | Joy M Caplette | Nurse Practitioner | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2015-11-05 |
| 1265716187 | Jennifer Marie Ballesteros | Nurse Practitioner | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2011-10-11 |
| 1144508466 | Angel Madolid Johnson | Nurse Practitioner | 17218 N 72nd Dr, Suite #100, Glendale, AZ 85308-8580 | 2011-08-03 |
| 1174822928 | James Mcavoy Jr. | Nurse Practitioner | 17218 N 72nd Dr, Glendale, AZ 85308-8580 | 2011-03-19 |
| 1417115064 | Jacqueline Jordan Spiegel | Physician Assistant | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-05-30 |
| 1396903803 | Kevin Ludwig | Contractor | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-05-30 |
| 1417128208 | Brett R Beloud | Internal Medicine | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-03-19 |
| 1962688424 | Monica Fernandez | Physician Assistant | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8580 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967327 | Kristian Adair | Family Medicine | 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 | 2020-06-24 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1053930248 | Shine Mmg Inc | Family Medicine | 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 | 2020-04-08 |
| 1497381446 | Leonardo C Ortiz Md A Medical Corporation | Family Medicine | 2145 Ashington Dr, Glendale, CA 91206-1140 | 2020-03-20 |
| 1508498130 | Nare Stepanyan Md Inc | Family Medicine | 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 | 2020-02-11 |
| 1194368530 | Carolyn Kathan | Family Medicine | 3732 W Charleston Ave, Glendale, AZ 85308-2708 | 2019-10-17 |
| 1932740966 | Starcare Homes LLC | Family Medicine | 9416 W Colter St, Glendale, AZ 85305-3373 | 2019-10-01 |
| 1871050559 | Mensa Family Clinic Inc | Family Medicine | 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 | 2019-02-28 |
| 1891279907 | Denise M Gomez | Family Medicine | 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 | 2018-09-24 |
| 1427537299 | Brilliant Health Center Inc | Family Medicine | 1014 E Colorado St, Glendale, CA 91205-1226 | 2018-08-12 |
| Find all providers in GLENDALE | ||||
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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.