KIMBERLY J HALLA (NPI# 1427406719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427406719 |
| Entity Type | Individual |
| Full Name | KIMBERLY J HALLA |
| Credential | FNP-C |
| Practice Address |
625 N 6th St Phoenix AZ 85004-2155 |
| Practice Telephone | 6024066000 |
| Practice Fax Number | 6024068181 |
| Mailing Telephone | 6024066000 |
| Mailing Fax Number | 6024068181 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP8551 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 N 6TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735585 | Panagiotis Mihalis Fidias | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2005-10-27 |
| 1477048957 | Heather Betts | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-06-26 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1619481132 | Ginka Conrey | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2017-11-20 |
| 1720440548 | Uacc St. Jospeh's Hospital and Medical Center | Clinic/Center | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-03-22 |
| 1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
| 1093180770 | Mandy Cornelius | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-12-07 |
| 1245604446 | Laurie Mann | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-25 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| 1568881472 | Shifat Ahmed | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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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.