KIMBERLY LYNN TEDFORD (NPI# 1285832626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285832626 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYNN TEDFORD |
| Credential | RN |
| Practice Address |
804 N Parkway Jackson TN 38305-3058 |
| Mailing Address |
17 Buckthorn Cv Jackson TN 38305-6653 |
| Practice Telephone | 7319278525 |
| Mailing Telephone | 7316619520 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000066007 | TN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4448133 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700286069 | Kimberly Tedford | Psychologist | 117 Elwood Dr, Edmond, OK 73013-4413 | 2014-08-23 |
| Street Address |
804 N PARKWAY |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902972706 | Lanora Elaine Bryant | Dentist | 804 N Parkway, Jackson Madison County Regional Health Dept, Jackson, TN 38305-3058 | 2006-11-27 |
| 1598162661 | Cynedra Neely | Licensed Practical Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2014-12-04 |
| 1477976967 | Ashley Wilkinson | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2014-02-04 |
| 1093137259 | Catherine Watson Crutchfield | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2014-01-07 |
| 1265700637 | Jackson Madison County Regional Health Department | Clinic/Center | 804 N Parkway, Jackson, TN 38305-3058 | 2011-12-13 |
| 1407174220 | Leeann Huskey | Licensed Practical Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2010-05-05 |
| 1538307418 | Janice V Brown | Counselor | 804 N Parkway, Jackson, TN 38305-3058 | 2009-01-30 |
| 1487891099 | Courtney Beth Agee | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2009-01-20 |
| 1902041320 | Leanne Simpson Montgomery | Nutritionist | 804 N Parkway, Jackson, TN 38305-3058 | 2008-12-15 |
| 1134375793 | Tara Lynn Rogers | Registered Nurse | 804 N Parkway, Jackson, TN 38305-3058 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083896401 | Carole Patricia Myers | Registered Nurse | 52 Frontier Dr, Jackson, CA 95642-2608 | 2007-11-27 |
| 1962979773 | Surina Leann Jones | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2018-10-30 |
| 1366959496 | Alicia Ann Joyner | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2018-01-10 |
| 1659890143 | Cherish Deann White | Registered Nurse | 295 Summar Drive, Jackson, TN 38301 | 2017-09-15 |
| 1912453556 | Leah Marshalle Milam | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2016-09-01 |
| 1023461209 | Amber Barnett | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2016-07-22 |
| 1023461183 | Susan Alexander | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2016-07-13 |
| 1073965117 | Katrina Arnold | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2016-07-12 |
| 1871904466 | Leah Tharpe | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2014-05-16 |
| 1386064665 | Elizabeth Vinson | Registered Nurse | 295 Summar Dr, Jackson, TN 38301-3905 | 2014-04-24 |
| Find all providers in JACKSON | ||||
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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.