KIMBERLY ANNETTE NIELSEN (NPI# 1811918675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811918675 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNETTE NIELSEN |
| Practice Address |
1500 W Elk Ave Elizabethton TN 37643-2654 |
| Mailing Address |
401 E Main St Johnson City TN 37601-4877 |
| Practice Telephone | 4235432584 |
| Practice Fax Number | 4237222060 |
| Mailing Telephone | 4239292584 |
| Mailing Fax Number | 4237222060 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN-7262 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3348345 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 E Main St, Johnson City, TN 376014877 | 4239292584 | 4237222060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465925 | Kimberly B Nielsen | Marriage & Family Therapist | 5676 Ladner Dr, San Jose, CA 95123-3417 | 2018-11-06 |
| 1295384352 | Kimberly S. Nielsen | Nurse Practitioner | 3999 Richmond Rd, Beachwood, OH 44122-6046 | 2019-09-10 |
| 1457743965 | Kimberly Jane Nielsen | Pharmacist | 2538 Ironwood Dr, Sun Prairie, WI 53590-8820 | 2015-02-21 |
| 1922143833 | Kimberly Dawn Nielsen | Social Worker | 10220 N 31st Ave, #101, Phoenix, AZ 85051 | 2007-02-20 |
| 1285613083 | Kimberly D Nielsen | Physical Therapist | 1502 8th Ave, Brooklyn, NY 11215-5602 | 2006-01-11 |
| Street Address |
1500 W ELK AVE |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331740 | Kenneth M Hopland | Family Medicine | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2005-07-26 |
| 1982210928 | Bridget Mashburn | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2020-09-16 |
| 1437611480 | Whitney Deeanne Hollifield | Registered Nurse | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2019-04-01 |
| 1386119733 | Rebecca Morris | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-10-11 |
| 1801373964 | Jessica D Lane | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-07-23 |
| 1134653231 | Julieanne Davis | Family Medicine | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2017-04-14 |
| 1952840647 | Diane Lynn Roche | Physician Assistant | 1500 W Elk Ave, Elizabethton, TN 37643 | 2017-02-15 |
| 1467903674 | Trever Weaver | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2016-10-24 |
| 1205271343 | Audrey Laney | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2013-05-02 |
| 1225365406 | Thomas Isaac Young | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2009-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| 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 |
|---|---|---|---|---|
| 1396731048 | Patricia J Heaton | Nurse Practitioner | 403 E G St, Elizabethton, TN 37643-3223 | 2005-09-27 |
| 1487089322 | Melanie Leigh Wade | Nurse Practitioner | 426 E G St, Elizabethton, TN 37643-3224 | 2013-09-11 |
| 1205271343 | Audrey Laney | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2013-05-02 |
| 1538413448 | Sharon W Smith | Nurse Practitioner | 1200 Spruce Ln, Elizabethton, TN 37643-4301 | 2012-10-30 |
| 1285932483 | Angela Marie Kraner | Nurse Practitioner | 1503 W Elk Ave, Suite #1, Elizabethton, TN 37643-2876 | 2011-03-11 |
| 1083846984 | Tiffany Charlotte Jenkins | Nurse Practitioner | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 | 2009-08-11 |
| 1396943841 | Appalachian Surgery | Nurse Practitioner | 1503 W Elk Ave, #1, Elizabethton, TN 37643 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
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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.