Kimberly Suzanne Jenkins

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

34963 Issued in TN

Practice address

250 Grassy Glen Dr
Gallatin, TN 37066-1726

Phone

(615) 326-5750

NPI assigned

Dec 3, 2021

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carey Family Practice and Pediatrics PLLCGroup PAC ID 1951742899, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highpoint Health-Trousdale With Ascension Saint Hospital, Hartsville, TN, CCN 441301
• Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDAEDD/Endpoint/IDAEDD

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

• Carey Family Practice and Pediatrics PLLC

  dba Carey Family Practice

  • Family Medicine Physician
  • Hartsville, TN
  • NPI 1033970405
  Medicare reassignment Care Compare group NPD
• James D Carey

  • Family Nurse Practitioner
  • Hartsville, TN
  • NPI 1902349913
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sumner Regional Medical Center LLC

  dba Highpoint Health - Sumner with Ascension Saint Thomas

  • General Acute Care Hospital
  • Gallatin, TN
  • NPI 1447571658
  Care Compare affiliation
• Trousdale Medical Center LLC

  dba Highpoint Health - Trousdale with Ascension Saint Thomas

  • Critical Access Hospital
  • Hartsville, TN
  • NPI 1467763458
  Care Compare affiliation

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1013675289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GRASSY GLEN DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661726",
            "telephone_number": "615-326-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GRASSY GLEN DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661726",
            "telephone_number": "615-326-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KIMBERLY",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "34963",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "235910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taysha Jagodzinski, SLP-CCC
• Adam James, MD
• Cameron S James, PHARMD
• Mackenzi Jankowics, BCBA, LBA
• Jeffrey Dan Jenkins, DPH
• John W. Bacon M.D. PLLC
• Ashley Johnson, PTA
• Christina Helen Johnson, PTA
• Hanna Johnson
• Jessica Ujjin Johnson, PHARMD

• Primary Care Nurse Practitioner in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.