KIM ANDERSON GREENWOOD PNP MS NPI 1417048356

NPI Information

NPI: 1417048356
Provider Name: KIM ANDERSON GREENWOOD, PNP, MS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
590 S OCOTILLO AVE
BENSON, AZ
ZIP 85602
Phone: (520) 586-7080
Get Directions

Kim Anderson Greenwood, PNP, MS is a psychiatric/mental health nurse practitioner in Benson, AZ with 27 years of experience. Kim Anderson Greenwood, PNP, MS NPI is 1417048356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

590 S OCOTILLO AVE
BENSON, AZ
ZIP 85602-405
Phone: (520) 586-7080
Fax: (520) 586-3163

The NPI 1417048356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	PNPAP0073	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	488462	OTHER	ARIZONA	AHCCCS #
2	78591	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE
3	P00996	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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