KIMBERLY DAWN YAZZIE NPI 1063024909

NPI Information

  • NPI: 1063024909
  • Provider Name: KIMBERLY DAWN YAZZIE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4041 N CENTRAL AVE BLDG C
    PHOENIX, AZ
    ZIP 85012
  • Phone: (602) 279-5262

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NPI Details

Kimberly Dawn Yazzie is a psychiatric/mental health nurse practitioner in Phoenix, AZ with 2 years of experience. Kimberly Dawn Yazzie NPI is 1063024909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4041 N CENTRAL AVE BLDG C
PHOENIX, AZ
ZIP 85012-313
Phone: (602) 279-5262

The NPI 1063024909 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 8/21/2020 and was last updated on 6/17/2025.

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
1163W00000XRegistered NurseRN165975ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health313755ARIZONAYes

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: 11/21/2025

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