KIMBERLY E PROCTOR


Address: 332 N Lauderdale St., Ms 133, Memphis, TN 38105-2794
Phone: 9014953006

KIMBERLY E PROCTOR (NPI# 1609853381) 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) 1609853381
Entity Type Individual
Full Name KIMBERLY E PROCTOR
Credential RN/NP
Practice Address 332 N Lauderdale St.
Ms 133
Memphis
TN 38105-2794
Practice Telephone 9014953006
Practice Fax Number 9014953842
Mailing Telephone 9014953006
Mailing Fax Number 9014953842
Enumeration Date 2005-12-23
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
97240 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 5440513 05

Other Providers KIMBERLY PROCTOR

NPI Name Taxonomy Address Enumeration
1982071031 Kimberly Proctor Pharmacist 7600 Schomburg Rd, Columbus, GA 31909-1833 2015-08-25
1942647789 Kimberly Lynn Proctor Dietitian, Registered 4035 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3801 2013-06-03

Office Location

Street Address 332 N LAUDERDALE ST.
MS 133
City MEMPHIS
State TN
Zip Code 38105-2794

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447887435 Leeanne Chittom Mcdonald Dietitian, Registered Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 2020-03-27
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1689004160 Virginia Carney Dietitian, Registered 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 2013-11-19
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1457622235 Healthy Indigent Populations Inc. Exclusive Provider Organization 1066 Delmar, Memphis, TN 38105 2012-01-25
1285953265 Nicholas Steve Phillips Student in an Organized Health Care Education/Training Program 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 2010-05-31
1205151776 Kyle Joseph Morgan Anesthesiology 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 2010-03-28
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629683453 Monique Kyles Nurse Practitioner 148 Marrakesh Cir, Memphis, TN 38103-5830 2020-09-09
1295350361 Amber Rose King Nurse Practitioner 439 N Graham St, Memphis, TN 38122-3831 2020-06-14
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1730568650 Erin Burke Nurse Practitioner 262 Danny Thomas Place-mail Stop 260, Memphis, TN 38103 2015-05-26
1427443142 Jamila Shani Smith-young Nurse Practitioner 51 N Dunlap #400, Memphis, TN 38103 2015-03-31
1457788606 Lindsey Nicole Locke Nurse Practitioner 848 Adams Street, Memphis, TN 38103 2013-10-02
1851667992 Brenda Hill Nurse Practitioner 920 Madison Ave, Suite 513, Memphis, TN 38163-2120 2012-03-22
1851378525 Mindy J Lipson Nurse Practitioner 5293 S Angela Rd, Memphis, TN 38120-2203 2005-12-23
1528679651 Heather Leigh Leland Nurse Practitioner 8071 Winchester Rd, Memphis, TN 38125-8206 2020-08-12
1922617240 Megan Leigh Smith Nurse Practitioner 848 Adams Ave, Memphis, TN 38103-2816 2020-07-23
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Competitor

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City MEMPHIS
Zip Code 38105

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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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