KIMBA J KEEL


Address: 45 Executive Dr, Jackson, TN 38305-2337
Phone: 7316642082

KIMBA J KEEL (NPI# 1043427982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043427982
Entity Type Individual
Full Name KIMBA J KEEL
Credential RN
Practice Address 45 Executive Dr
Jackson
TN 38305-2337
Practice Telephone 7316642082
Practice Fax Number 7316641988
Mailing Telephone 7316642082
Mailing Fax Number 7316641988
Enumeration Date 2007-05-17
Last Update Date 2014-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN 116453 TN Nursing Service Providers
Y 363L00000X Nurse Practitioner 13420 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 45 EXECUTIVE DR
City JACKSON
State TN
Zip Code 38305-2337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932217783 Traci Schott Social Worker 45 Executive Dr, Jackson, TN 38305-2337 2006-08-29
1740774223 Benjamin Sinclair Counselor 45 Executive Dr, Jackson, TN 38305-2337 2018-06-19
1992074348 Autumn N Smith Counselor 45 Executive Dr, Jackson, TN 38305-2337 2011-12-14
1710283197 Cynthia Mosher Counselor 45 Executive Dr, Jackson, TN 38305-2337 2011-02-02
1104139765 Felicia Richard Counselor 45 Executive Dr, Jackson, TN 38305-2337 2010-07-23
1538471982 Acunda Bond Counselor 45 Executive Dr, Jackson, TN 38305-2337 2010-07-13
1487983417 Derrick Robinson Counselor 45 Executive Dr, Jackson, TN 38305-2337 2009-12-22
1215178587 Betty A Barnette Social Worker 45 Executive Dr, Jackson, TN 38305-2337 2009-03-17
1265672695 Gloria Jones Counselor 45 Executive Dr, Jackson, TN 38305-2337 2009-02-25
1881841476 Kelly K Odum Social Worker 45 Executive Dr, Jackson, TN 38305-2337 2008-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332546 Jaleesa Atkins Nurse Practitioner 4266 Springbrook Rd, Jackson, MI 49201-9716 2020-07-01
1457983785 Amos N Macharia Nurse Practitioner 2130 Ridge Rd, Jackson, MO 63755-1612 2020-02-05
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1851934723 Hannah Louise Keel Nurse Practitioner 623 Gettysburg Dr, Jackson, TN 38305-7886 2019-10-23
1013559186 Kirsten Siler Nurse Practitioner 27a Medical Center Drive, Jackson, TN 38301-3949 2019-10-10
1801447693 Milestone Primary Care House Calls, LLC Nurse Practitioner 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131 2019-09-24
1750855870 Michael L Chesney Nurse Practitioner 6055 Jordan Rd, Jackson, MI 49201-9580 2019-01-12
1609356500 Angela Sophia Mcreynolds Nurse Practitioner 2500 N State St Rm S347, Jackson, MS 39216-4500 2018-08-20
1679050132 Alicia Faye Green Nurse Practitioner 908 Bella Vista Dr, Jackson, MO 63755-7863 2018-07-26
1982119228 Felix Taylor Nurse Practitioner 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 2017-12-08
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Competitor

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City JACKSON
Zip Code 38305

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Dataset Information

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.

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