=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134217953
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARI HERRINGTON RNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2006
-----------------------------------------------------
Last Update Date | 10/23/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 919 12TH PL STE 1
-----------------------------------------------------
City | PRESCOTT
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 86305-1433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-777-9600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 702 MAPLE LN
-----------------------------------------------------
City | CHINO VALLEY
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 86323-7483
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-753-4482
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | AP11728
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | NP 14625
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------