MICHELLE S KIMBALL (NPI# 1699764084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699764084 |
| Entity Type | Individual |
| Full Name | MICHELLE S KIMBALL |
| Credential | CPNP |
| Practice Address |
1101 Carter Street Chattanooga TN 37402 |
| Practice Telephone | 4234907710 |
| Practice Fax Number | 4234907750 |
| Mailing Telephone | 4234907710 |
| Mailing Fax Number | 4234907750 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7392 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4046834 | 05 | |
| GA | 00901128B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598964009 | Michelle K. Kimball | Nurse Practitioner | 1300 W Terrell #500, Ft. Worth, TX 76104-2810 | 2007-07-13 |
| 1366914558 | Michelle Kimball | Counselor | 557 Hammond St, Bangor, ME 04401-4511 | 2018-12-28 |
| 1730370487 | Michelle Lynn Kimball | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2007-08-07 |
| 1457567067 | Michelle L Kimball | Pharmacist | 1170 N Military Hwy, Norfolk, VA 23502-2425 | 2007-05-14 |
| Street Address |
1101 CARTER STREET |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407136740 | Mallory D Sliger | Speech-Language Pathologist | 1101 Carter Street, Chattanooga, TN 37402 | 2011-08-18 |
| 1457663999 | Jennifer A. Peet | Occupational Therapist | 1101 Carter Street, Chattanooga, TN 37402 | 2010-07-13 |
| 1255562559 | Elizabeth J Wallace | Speech-Language Pathologist | 1101 Carter Street, Chattanooga, TN 37402 | 2009-08-04 |
| 1811190002 | Lisa Jane Schubert | Occupational Therapist | 1101 Carter Street, Chattanooga, TN 37402 | 2007-06-06 |
| 1851469589 | Courtney Pittman | Occupational Therapist | 1101 Carter Street, Chattanooga, TN 37402 | 2006-12-01 |
| 1982717351 | James Michael Cupoli | Pediatrics | 1101 Carter Street, Chattanooga, TN 37402 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1194719773 | Robin Anne Barron | Internal Medicine | 540 Mccallie Avenue, Suite 450, Chattanooga, TN 37402 | 2005-09-09 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054785 | Jamie Renee Slagle | Nurse Practitioner | 6061 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-18 |
| 1699390757 | Lacy E Cushman | Nurse Practitioner | 1622 Mary Dupre Dr, Chattanooga, TN 37421-2538 | 2020-06-14 |
| 1366077539 | Scenic City Neurotherapy and Ketamine Center PC | Nurse Practitioner | 7405 Shallowford Rd Ste 360, Chattanooga, TN 37421-2678 | 2020-03-09 |
| 1740839315 | Emmaline Camille Newman | Nurse Practitioner | 1703 W 54th St, Chattanooga, TN 37409-2011 | 2019-09-06 |
| 1215490230 | Tina Michell Carden | Nurse Practitioner | 2200 E 3rd St Ste 100, Chattanooga, TN 37404-2724 | 2019-04-08 |
| 1922568807 | Twelvestone Infusion Centers LLC | Nurse Practitioner | 6150 Shallowford Rd Ste 102, Chattanooga, TN 37421-7218 | 2019-03-25 |
| 1710453436 | Kelly Gayler | Nurse Practitioner | 1751 Gunbarrel Rd Ste 103, Chattanooga, TN 37421-7162 | 2018-10-20 |
| 1043737976 | Sarah K Olds | Nurse Practitioner | 725 Glenwood Dr Ste 780, Chattanooga, TN 37404-1177 | 2017-08-22 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
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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.