Individual provider Active NPI

Kimberly Sanders, NP

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1013373968
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020593 Issued in TN
Practice address
4402 Lebanon Pike
Hermitage, TN 37076-1475
Phone
(615) 889-4864
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020593 TN Primary

Addresses

Primary practice location

4402 Lebanon Pike
Hermitage, TN 37076-1475

Mailing address

4402 Lebanon Pike
Hermitage, TN 37076-1475
Phone (615) 889-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001127 TN Practitioner - Nurse Practitioner 1951607530 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

100 Glen Oak Blvd
Hendersonville, TN 37075-3025
Phone (615) 826-3573

1154 Liberty Pike
Franklin, TN 37067-5608
Phone (866) 389-2727

1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727

14299 Old Nashville Hwy
Smyrna, TN 37167-6315
Phone (866) 389-2727

3715 Hillsboro Pike
Nashville, TN 37215-2117
Phone (866) 389-2727

4058 Franklin Rd
Murfreesboro, TN 37128-4165
Phone (866) 389-2727

426 21St Ave S
Nashville, TN 37203-2424
Phone (866) 389-2727

4402 Lebanon Pike
Hermitage, TN 37076-1475
Phone (866) 389-2727

735 Harding PL
Nashville, TN 37211-4357
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 14, 2016 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 14, 2016 Accepting new patients
Retail Health Clinics, LLC CurrentSince Nov 3, 2017 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Oct 26, 2021 Accepting new patients
Vanderbilt University Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC Family CurrentSince Jun 4, 2025 Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

585 Nashville Pike
Gallatin, TN 37066
Phone (615) 451-4139

198 E Main St
Hendersonvlle, TN 37075
Phone (615) 264-3583

4402 Lebanon Pike
Hermitage, TN 37076
Phone (615) 885-5013

6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

1415 Hillsboro Blvd
Ste 106
Manchester, TN 37355
Phone (931) 954-5605

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1013373968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761475",
            "telephone_number": "615-889-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 LEBANON PIKE",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761475",
            "telephone_number": "615-889-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.