Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Dawn Yazzie

Individual provider Registered Nurse · NPI 1063024909

Kimberly Dawn Yazzie is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Native Health, a 21-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4041 N Central Ave Bldg C
Phoenix, AZ 85012-3313
Phone: (602) 279-5262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 313755 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN165975 (AZ)

Record details

NPI number1063024909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Native Health — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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