Kimberly D Holtsclaw (NPI# 1437638129, PAC ID# 0345591798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437638129 |
| PAC ID by PECOS | 0345591798 |
| Professional Enrollment ID | I20180924001823 |
| Full Name | Kimberly D Holtsclaw |
| Organization Legal Name | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC |
| Address |
152 Hwy 143 Roan Mountain TN 37687-3002 |
| Phone Number | 4237723276 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941118111 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440001 | UNICOI COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 152 Hwy 143, Roan Mountain, TN 37687-3002 | 4237723276 | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC |
| Organization Legal Name | RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebeka Skelton | Physician Assistant | Rural Health Services Consortium of Upper East Tennessee Inc | 737 E Sevier St, Kingsport, TN 37660-4912 |
| Tina M Smith | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 105 Limestone Ruritan Rd, Limestone, TN 37681-2515 |
| Lori L Murdock | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 2994 Camp Creek Rd, Greeneville, TN 37743-6064 |
| Geraldine Livermore | Clinical Social Worker | Rural Health Services Consortium of Upper East Tennessee Inc | 4307 Hwy 66 S, Rogersville, TN 37857-3155 |
| Michael E Hill | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 229 Hwy 19 E, Bluff City, TN 37618-1865 |
| Kelly J Hopkins | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 4966 Hwy 11 W, Rogersville, TN 37857-6028 |
| Ann E Espey | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 580 Van Hill Rd, Greeneville, TN 37745-7608 |
| Phyllis C Fisher | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 1826 N Maine Ave, Erwin, TN 37650-8932 |
| Mark R Doman | Internal Medicine | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Jaime A Strozier | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Street Address |
152 HWY 143 |
| City | ROAN MOUNTAIN |
| State | TN |
| Zip | 37687-3002 |
| City | ROAN MOUNTAIN |
| Zip Code | 37687 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROAN MOUNTAIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly D Holtsclaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.