KIMBERLY RAE HORNER (NPI# 1083086433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083086433 |
| Entity Type | Individual |
| Full Name | KIMBERLY RAE HORNER |
| Credential | AG-ACNP, BC |
| Practice Address |
1 Medical Center Blvd Cookeville TN 38501-4294 |
| Mailing Address |
127 N Oak Ave Suite D Cookeville TN 38501-2435 |
| Practice Telephone | 9317835582 |
| Practice Fax Number | 9315266760 |
| Mailing Telephone | 9317835857 |
| Mailing Fax Number | 9315266760 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
20610 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100421130 | 05 | |
| TN | BCBS | 6055560 | 01 |
| TN | Q018245 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 228 W 4th St Ste 200, Cookeville, TN 385012489 | 9313720405 | 9313720463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487965497 | Kimberly Bogard Horner | Pediatrics | 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 | 2010-06-24 |
| 1992039796 | Kimberly Horner | Social Worker | 1751 Meriweather Dr Bldg B, Bogart, GA 30622-3092 | 2009-09-25 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596999 | Christopher J Klugewicz | Internal Medicine | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2005-05-23 |
| 1619580016 | Sheldon Hitchcock | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-08-25 |
| 1174140008 | William Timothy Wilson | Registered Nurse | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-06-26 |
| 1689294233 | Kayltin Ray | Respiratory Therapist, Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-04-23 |
| 1508499443 | Josh Brindley | Nurse Practitioner | 1 Medical Center Blvd, 5 West, Cookeville, TN 38501-4294 | 2020-02-19 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1902451974 | Mason Mercedes Anderson | Occupational Therapy Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-08-07 |
| 1679138747 | Jessica Some | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-05-04 |
| 1962967273 | Rachel Adams | Occupational Therapist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376715136 | Rachel L Forsythe | Nurse Practitioner | 545 E Spring St, Cookeville, TN 38501-3594 | 2008-04-01 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1073059317 | John M Dickson | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2017-01-10 |
| 1871979856 | Marianna Boyles Ballard | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2015-08-03 |
| 1922407378 | Robyn Elizabeth Maxwell | Nurse Practitioner | 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 | 2014-08-21 |
| 1548506827 | Wayne Russell Babcock II | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2012-12-14 |
| 1346524279 | Gail Jean Cook | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501 | 2011-10-11 |
| 1306154729 | Sun-forsythe, Pllc | Nurse Practitioner | 545 E Spring St, Cookeville, TN 38501-3594 | 2010-09-20 |
| 1508195033 | Frances Sloan- Flatt Thomason | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2009-12-11 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on KIMBERLY RAE HORNER.
| 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.