MRS. KIMERLY A NEAL (NPI# 1689668105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689668105 |
| Entity Type | Individual |
| Full Name | MRS. KIMERLY A NEAL |
| Credential | FNP |
| Practice Address |
401 Sewell Dr Sparta TN 38583-1223 |
| Mailing Address |
300 20th Ave N Ste 403 Nashville TN 37203-5180 |
| Practice Telephone | 9317384395 |
| Practice Fax Number | 9317384330 |
| Mailing Telephone | 6152844088 |
| Mailing Fax Number | 6152847501 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000005782 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/BS TN - CROSSVILLE | 4139731 | 01 |
| TN | 3905395 | 05 | |
| TN | BC/BS TN - MCMINNVILLE | 4137186 | 01 |
| Street Address |
401 SEWELL DR |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186446 | Robert Plinke | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2005-07-07 |
| 1154794865 | Botanical Emergency Physicians, LLC | Physician Assistant | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-11-03 |
| 1386025898 | Saint Thomas Highlands Hospital, LLC | Medicare Defined Swing Bed Unit | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-06-11 |
| 1659752210 | Saint Thomas Highlands Hospital, LLC | Psychiatric Unit | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-06-09 |
| 1922487966 | Saint Thomas Highlands Hospital, LLC | General Acute Care Hospital | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-05-22 |
| 1932460607 | Churchill Drive Emergency Physicians LLC | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2012-05-30 |
| 1922332428 | White County Physician Services LLC | Orthopaedic Surgery | 401 Sewell Dr, Sparta, TN 38583-1223 | 2009-09-30 |
| 1174644538 | Dawn Michelle Barlow | Internal Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2007-04-03 |
| 1083759112 | Southeastern Emergency Care, Pllc | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2007-02-20 |
| 1336221928 | Aero Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 401 Sewell Dr, Sparta, TN 38583-1223 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083980593 | Healthstat Inc | Nurse Practitioner | 1889 Hwy 21 S., Sparta, NC 28675 | 2012-03-29 |
| 1316509334 | James Clark Childress | Nurse Practitioner | 457 Vista Dr, Sparta, TN 38583-1360 | 2019-06-29 |
| 1073020673 | Katrina Lea Selsor | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2018-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
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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.