MRS. KIMARY LEE-BANKS (NPI# 1689189698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689189698 |
Entity Type | Individual |
Full Name | MRS. KIMARY LEE-BANKS |
Credential | AGPCNP - BC |
Practice Address |
1520 Union Ave Memphis TN 38174-0275 |
Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
Practice Telephone | 9012762410 |
Practice Fax Number | 9012616010 |
Mailing Fax Number | 9012278591 |
Enumeration Date | 2017-12-13 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
903682 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
23681 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
7736 Airways Blvd, Southaven, MS 386715306 | 6627725222 | 6627725957 |
Street Address |
1520 UNION AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38174-0275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114913555 | Anne L S Sullivan | Family Medicine | 1520 Union Ave, Memphis, TN 38174-0275 | 2005-09-21 |
1184016842 | Secondria Monique Washington | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38174 | 2015-03-04 |
1558761148 | Atricia R White | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38174-0275 | 2014-09-02 |
1053720342 | Kristal Hillie | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38174-0275 | 2014-08-12 |
1225458987 | Karlisa Franklin | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38104-3700 | 2014-04-21 |
1861817116 | Nadia Markay Ramsey Sneed | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38104-3700 | 2014-02-24 |
1437573482 | Allison Morrison | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38174-0275 | 2014-02-11 |
1013270909 | Shundonna S Shaw | Nurse Practitioner | 1520 Union Ave, Memphis, TN 38104-3700 | 2012-06-17 |
1619940509 | Jay Patchen | Internal Medicine | 1520 Union Ave, Memphis, TN 38104-3700 | 2006-02-10 |
1497728638 | Freddie Lee Everson | Family Medicine | 1520 Union Ave, Memphis, TN 38174-0275 | 2006-02-08 |
Find all providers in the same location |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376187849 | Prospero Health Partners, P.C. | Nurse Practitioner | 40 S Main St Ste 1300, Memphis, TN 38103-5513 | 2019-10-29 |
1639573025 | Charlotte Halkiades | Nurse Practitioner | 5125 Clearpool Pt S, Memphis, TN 38141-0253 | 2014-10-15 |
1164570933 | House Call Practioners of Tennessee LLC | Nurse Practitioner | 5155 Fairbrook Ave, Memphis, TN 38118-2533 | 2007-01-08 |
1003813023 | Katrina H Denegri | Nurse Practitioner | 1726 Poplar Ave, Memphis, TN 38104-6426 | 2005-07-05 |
1902803927 | Linda V Curry | Nurse Practitioner | 2714 Union Avenue Ext, Suite 150, Memphis, TN 38112-4436 | 2005-07-05 |
1811141047 | Lindalee F Thomas | Nurse Practitioner | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-11-14 |
1538321195 | Caroline Esther Stephens | Nurse Practitioner | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2008-06-25 |
1508876046 | Barbara Aquadro Pope | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-08-08 |
1407809668 | Linda M Towle | Nurse Practitioner | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2006-05-18 |
1386609105 | Monee Hopkins | Nurse Practitioner | 3175 Lenox Park Blvd, Suite 412, Memphis, TN 38115-4260 | 2006-04-18 |
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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.