KIM ANDERSON GREENWOOD


Address: 590 S Ocotillo Ave, Benson, AZ 85602-6405
Phone: 5205867080

KIM ANDERSON GREENWOOD (NPI# 1417048356) 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) 1417048356
Entity Type Individual
Full Name KIM ANDERSON GREENWOOD
Credential PNP, MS
Practice Address 590 S Ocotillo Ave
Benson
AZ 85602-6405
Mailing Address 489 N Arroyo Blvd
Nogales
AZ 85621-2644
Practice Telephone 5205867080
Practice Fax Number 5205863163
Mailing Telephone 5202874713
Mailing Fax Number 5202879794
Enumeration Date 2006-09-27
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
PNPAP0073 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS # 488462 01

Office Location

Street Address 590 S OCOTILLO AVE
City BENSON
State AZ
Zip Code 85602-6405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255329132 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 590 S Ocotillo Ave, Benson, AZ 85602-6405 2005-10-13
1760830137 Southeastern Arizona Behavioral Health Services, Inc. Community/Behavioral Health 590 S Ocotillo Ave, Benson, AZ 85602-6405 2016-05-26
1790095313 King Richard Randell Counselor 590 S Ocotillo Ave, Benson, AZ 85602-6405 2010-10-15
1245544071 Murray Ellis Leimsieder Counselor 590 S Ocotillo Ave, Benson, AZ 85602-6405 2010-08-04
1902968845 Jennie Elise Mcmillian Counselor 590 S Ocotillo Ave, Benson, AZ 85602-6405 2006-12-15
1063505014 Stacy L Paul Counselor 590 S Ocotillo Ave, Benson, AZ 85602-6405 2006-10-02
1750328480 Robin A. Toole Social Worker 590 S Ocotillo Ave, Benson, AZ 85602-6405 2006-06-01
1275586117 Ronald E. Basil Social Worker 590 S Ocotillo Ave, Benson, AZ 85602-6405 2006-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821582529 Chiricahua Community Health Centers, Inc Clinic/Center 335 South Ocotillo Avenue, Benson, AZ 85602 2018-06-18
1437651288 Chiricahua Community Health Centers Inc Pharmacy 335 S Ocotillo Avenue, Benson, AZ 85602 2018-03-07
1295191641 Caring Connections for Special Needs, LLC. Community/Behavioral Health 870 W 4th St, Benson, AZ 85602 2016-01-14
1396158762 Nicole Michelle Morris Audiologist 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 2014-06-03
1467735217 Josephine Anne Ellsworth Counselor 811 Maverick Lane, Benson, AZ 85602 2011-09-27
1730483819 Charles Dean Kartchner Anesthesiology 1357 East Airport Road, Benson, AZ 85602 2011-01-04
1699077321 Community Bridges, Inc Clinic/Center 470 S Ocotillo Ave # 2, Benson, AZ 85602 2010-12-01
1801106844 Tomas G. Soto Social Worker 611 W. Union St., Benson, AZ 85602 2010-10-08
1982929451 Marla Jeanne Trepanier Pharmacist 795 W Fourth Street, Benson, AZ 85602 2010-03-29
1396910832 Susan May Boge Occupational Therapist 1764 N Ocotillo Rd, Benson, AZ 85602 2008-04-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396907598 Sarah Manco Nurse Practitioner 611 W Union St, Benson, AZ 85602-6718 2008-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922608447 Courtney Tafoya Nurse Practitioner 544 S 172nd Ave, Goodyear, AZ 85338-1281 2020-10-26
1215536479 Yolanda D Baugh Nurse Practitioner 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 2020-10-20
1871191593 Lisa E Legg Nurse Practitioner 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 2020-10-14
1619584406 Preston Strebeck Nurse Practitioner 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 2020-09-25
1336754332 Yvonne Maese Nurse Practitioner 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 2020-09-15
1306450960 Williamsconsultant Com LLC Nurse Practitioner 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 2020-09-01
1215549274 Maria Graciela Cornejo Nurse Practitioner 3421 S Loback Ln, Gilbert, AZ 85297-7913 2020-08-20
1013529155 Mark Skousen Nurse Practitioner 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 2020-08-19
1356953699 Rebecca Jane Turley Nurse Practitioner 1681 S Villas Ln, Chandler, AZ 85286-6805 2020-08-18
1467064063 Dylan O'keefe Carey Nurse Practitioner 11702 W Fordson Dr, Marana, AZ 85653-7715 2020-08-17
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Competitor

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City BENSON
Zip Code 85602

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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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