KIMBERLY GEAN REDFEARN (NPI# 1356745848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356745848 |
| Entity Type | Individual |
| Full Name | KIMBERLY GEAN REDFEARN |
| Credential | NP-C |
| Practice Address |
13851 Highway 28 Whitwell TN 37397-5373 |
| Mailing Address |
432 Family Rd Dunlap TN 37327-6545 |
| Practice Telephone | 4236589200 |
| Practice Fax Number | 4236582195 |
| Mailing Telephone | 4239496637 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19223 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13851 HIGHWAY 28 |
| City | WHITWELL |
| State | TN |
| Zip Code | 37397-5373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291638 | Jung Tae Park | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2005-11-02 |
| 1225409147 | Whitwell Medical Plaza | Clinic/Center | 13851 Highway 28, Whitwell, TN 37397-5373 | 2015-10-19 |
| 1083982243 | Brenda Ross Md PC | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760972202 | Specialized Behavior Solutions | Behavioral Analyst | 360 Looneys Creek Dr, Whitwell, TN 37397 | 2018-05-10 |
| 1134285125 | Frederick Kirk Mcdermott | Counselor | 13810 Hwy 28, Suite B, Whitwell, TN 37397 | 2006-12-28 |
| 1295811156 | Hooper Drug Store | Pharmacist | 325 E. Spring Street Po 129, Whitwell, TN 37397-0129 | 2006-10-31 |
| 1477627768 | Whitwell Pharmacy Inc | Pharmacy | 13810 Highway 28, Whitwell, TN 37397-5365 | 2006-11-20 |
| 1689961104 | Whitwell Senior Living, LLC | Assisted Living Facility | 13960 Highway 28, Whitwell, TN 37397-5366 | 2011-07-05 |
| 1043271091 | Nonie Ivey Linder | Social Worker | 720 Teague Rd, Whitwell, TN 37397-5982 | 2006-03-29 |
| 1447471909 | Ingrid Rene Long | Registered Nurse | 295 Scissomtown Rd, Whitwell, TN 37397-6601 | 2007-05-01 |
| 1083228209 | Tarrah Davis | Nurse Practitioner | 205 Fiddlers Dr, Whitwell, TN 37397-8918 | 2020-09-04 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228209 | Tarrah Davis | Nurse Practitioner | 205 Fiddlers Dr, Whitwell, TN 37397-8918 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
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| 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.