KIMBERLY C NICHOLS


Address: 1 Medical Park Blvd, Bristol, TN 37620-7430
Phone: 4238445583

KIMBERLY C NICHOLS (NPI# 1619251626) 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) 1619251626
Entity Type Individual
Full Name KIMBERLY C NICHOLS
Credential NP
Practice Address 1 Medical Park Blvd
Bristol
TN 37620-7430
Mailing Address 999 Executive Park Blvd
Suite 201
Kingsport
TN 37660-4632
Practice Telephone 4238445583
Practice Fax Number 4238445588
Mailing Telephone 4232243250
Mailing Fax Number 4232243258
Enumeration Date 2011-10-10
Last Update Date 2013-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 16361 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363L00000X Nurse Practitioner 0024169691 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY NICHOLS

NPI Name Taxonomy Address Enumeration
1205237948 Kimberly Jean Nichols Social Worker 245 N Broadway Ste 101, Sleepy Hollow, NY 10591-2657 2014-09-12
1982749537 Kimberly Jo Nichols Dentist 1025 Dove Run Rd, Suite 208, Lexington, KY 40502-3588 2007-02-21
1518932912 Kimberly Sue Nichols Physical Therapist 880 Elmgrove Rd, Suite 2, Rochester, NY 14624-1320 2006-02-20
1063078608 Kimberly Nichols Counselor 7001 Jahnke Rd, Richmond, VA 23225-4146 2019-05-18
1558842385 Kimberly Susan Nichols Social Worker 228 Billerica Rd, Chelmsford, MA 01824-3604 2018-08-29
1063699437 Kimberly Sparrow Nichols Counselor 200 S Post Rd Ste 3, Shelby, NC 28152-6270 2008-01-28
1346360252 Kimberly Mcclure Nichols I Pharmacist 290 Solana Rd, Ponte Vedra Beach, FL 32082-2234 2007-04-02
1881737401 Kimberly P Nichols Obstetrics & Gynecology 291 E Layfair Dr, Flowood, MS 39232-9527 2007-02-14

Office Location

Street Address 1 MEDICAL PARK BLVD
City BRISTOL
State TN
Zip Code 37620-7430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598768699 Medical Mall Pharmacy Inc Pharmacy 1 Medical Park Blvd, Suite 106-e, Bristol, TN 37620-7430 2005-05-23
1225640980 Amanda Marshall Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7453 2020-08-23
1336764406 Maggie Mullins Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-06-14
1578188249 Angela Dawn Owens Pharmacist 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-06-09
1528683133 Jessica Dawn Anderson Registered Nurse 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-06-09
1659904837 Sarah Elizabeth Smith Nurse Anesthetist, Certified Registered 1 Medical Park Blvd, Bristol, TN 37620-7430 2020-02-17
1063055762 Chelsea Newsome Nurse Practitioner 1 Medical Park Blvd, Bristol, TN 37620-7430 2019-10-25
1750943718 Sara Anne Mcglothlin Occupational Therapy Assistant 1 Medical Park Blvd, Bristol, TN 37620-7430 2019-06-30
1801355359 Aaron Allen Kelley Respiratory Therapist, Registered 1 Medical Park Blvd, Bristol, TN 37620-7430 2019-03-14
1164922076 Neha D Naik Pharmacist 1 Medical Park Blvd, Bristol, TN 37620-7430 2018-02-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376180216 Firstep, LLC Psychiatry & Neurology 3183 W. State St., Suite 1201, Bristol, TN 37620 2019-12-10
1578047726 Amanda Harville Mcgrady Psychologist 105 Walnut Circle, Bristol, TN 37620 2018-09-23
1467932533 Teresa Mooney Nurse Practitioner 324 Leslie Ct, Bristol, TN 37620 2018-08-17
1992285308 Jeremy Aurbrey Blanzy Nurse Practitioner 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 2018-08-15
1255841805 Amanda L Pillion Audiologist 225 Midway Medical Park, Bristol, VA 37620 2017-10-10
1841717717 Joel Blevins Driver 301 Webb Ct, Bristol, TN 37620 2017-08-23
1831579796 Dr. Marie Crawford, Ph.d., Pllc Psychologist 739 Bluff City Highway, Suite 5, Bristol, TN 37620 2015-06-05
1508297169 Cassandra Marie Conry Chiropractor 800 Hill St., Bristol, TN 37620 2013-12-09
1780025874 Laura Leann Lawson-renfro Nurse Practitioner 260 Midway St, Bristol, TN 37620 2013-07-17
1760822365 Ricky Bhimani Internal Medicine 208 Medical Park Boulevard, Bristol, TN 37620 2013-06-27
Find all providers in zip 37620

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467932533 Teresa Mooney Nurse Practitioner 324 Leslie Ct, Bristol, TN 37620 2018-08-17
1992285308 Jeremy Aurbrey Blanzy Nurse Practitioner 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 2018-08-15
1710289871 Jennifer Lee Griffin Nurse Practitioner 210 Memorial Drive, Healing Hands Health Center, Bristol, TN 37620 2010-11-23
1942338082 Joann Wolfe Vaughn Nurse Practitioner 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 2007-03-01
1598777260 Brittney D. Vestal Nurse Practitioner 240 Medical Park Blvd Ste 3000, Bristol, TN 37620-7352 2006-08-12
1033139613 Lynne M Whitney Nurse Practitioner 25 Newell Rd Ste E36, Bristol, CT 06010-5132 2006-07-19
1447283395 Linda A Davidson Nurse Practitioner 410 Stagecoach Rd, Bristol, VA 24201-8359 2006-07-07
1457304073 Catherine C Tilson Nurse Practitioner 205 Piedmont Ave, Bristol, VA 24201-4167 2006-05-17
1518598978 Pamela D Burdett Nurse Practitioner 280 Steeles Rd, Bristol, TN 37620-9520 2020-02-03
1447894308 Kathryn Kellie Brown Nurse Practitioner 200 Spring Hill Ter, Bristol, VA 24201-1800 2019-11-04
Find all providers in BRISTOL

Competitor

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City BRISTOL
Zip Code 37620

Improve Information

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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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