KIMBERLY D. MATHIS


Address: 1600 Mcarthur Street, Manchester, TN 37355
Phone: 9317237950

KIMBERLY D. MATHIS (NPI# 1427241421) 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) 1427241421
Entity Type Individual
Full Name KIMBERLY D. MATHIS
Other Name KIMBERLY D. WOODARD
Credential NP
Practice Address 1600 Mcarthur Street
Manchester
TN 37355
Practice Telephone 9317237950
Practice Fax Number 9317237815
Mailing Telephone 9317237950
Mailing Fax Number 9317237815
Enumeration Date 2007-08-22
Last Update Date 2019-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5806 TN Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner APN0000005806 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1516755 05

Other Providers KIMBERLY MATHIS

NPI Name Taxonomy Address Enumeration
1669777439 Kimberly Mathis Non-emergency Medical Transport (VAN) 37578 Fountain Park Cir, Apt 428, Westland, MI 48185-5627 2011-01-25
1790305423 Kimberly Ann Mathis Behavior Technician 8001 Beaty Grove Dr, Tampa, FL 33626-1602 2020-04-22
1104347160 Kimberly D Mathis Counselor 3002 Armstrong St, San Diego, CA 92111-5702 2017-06-29
1821521477 Kimberly Brooke Mathis Nurse Practitioner 140 Eagle Spring Ct, Stockbridge, GA 30281-6441 2017-04-10
1659818458 Kimberly Anne Mathis Counselor 2711 Ernest St, Lake Charles, LA 70601-8406 2017-01-31
1609110212 Kimberly Marie Mathis Acupuncturist 2509 S Power Rd, Suite 115, Mesa, AZ 85209-6695 2012-11-20

Office Location

Street Address 1600 MCARTHUR STREET
City MANCHESTER
State TN
Zip Code 37355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427548155 Alana Moore Nurse Practitioner 1600 Mcarthur Street, Manchester, TN 37355 2018-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659857126 Ashley Harmon Layne Speech-Language Pathologist 205 S Woodland St, Manchester, TN 37355 2018-07-17
1760996771 Quad/med, LLC Clinic/Center 227 Monogard Rd, Manchester, TN 37355 2017-11-29
1881108157 Sarabeth Seagreaves Specialist/Technologist 1700 Summer St Apt A36, Manchester, TN 37355 2017-11-25
1639618663 Heather N Fesmire Surgery 1030 Mcarthur St., Manchester, TN 37355 2017-02-23
1316361561 Charlotte Gibbs Counselor 482 Interstate Dr Ste D, Manchester, TN 37355 2014-02-08
1205258191 Aleene Marie Falk Social Worker 218 Forrestwood Drive, Manchester, TN 37355 2014-01-10
1790067429 Reda Lynn Lawson Registered Nurse 800 Parks Street, Manchester, TN 37355 2011-09-20
1912294117 Patricia Beth Elliott Nurse Practitioner 804 Keylon Street, Manchester, TN 37355 2011-07-08
1982761441 Richard Eugene Fishbein Orthopaedic Surgery 102 East High Street, Manchester, TN 37355 2007-01-03
1043386758 Herschel Stephan Taylor Dentist 1655 Hillsboro Blvd, Manchester, TN 37355 2006-11-27
Find all providers in zip 37355

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
1144769548 Lindsay Andronaco Nurse Practitioner 159 Frontage Rd, Manchester, NH 03103-6013 2017-02-17
1609242429 Brandy Nicole Hall Nurse Practitioner 201 Morse Rd, Manchester, NH 03104-5723 2015-08-16
1154635407 Edwards Clinic, Psc Nurse Practitioner 204 Town Branch Road, Manchester, KY 40962-1322 2010-07-28
1619190212 Virginia H Bennett Nurse Practitioner 223 East Center St, Manchester, CT 06040 2007-04-11
1881733111 Rosetta Lakes Nurse Practitioner 100 S Court St, Manchester, KY 40962-1295 2007-02-05
1316052442 Karen J Cheek Nurse Practitioner 90 Garrard Sq, Manchester, KY 40962-5759 2006-08-20
1275541062 Diane Estelle Ballard Nurse Practitioner 870 Montgomery St, Manchester, NH 03102-2722 2006-08-04
1952347734 Kristy Taylor Nurse Practitioner 9 Blodget St, Manchester, NH 03104 2006-06-21
1417908518 Cynthia A Martin Nurse Practitioner 212 Rosedale Dr, Manchester, PA 17345-1023 2006-05-13
1891771838 Mary Elizabeth Fitzpatrick Nurse Practitioner 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 2005-12-21
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 37355

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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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