Andrea Lora Acquaviva-Kimbrough, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28021 Issued in TN

Practice address

220 Doctor M.L.K. Jr Pkwy
Morristown, TN 37813

Phone

(423) 587-1987

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Physicians PC 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthstar Physicians, P.C.

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1184610248

  TN

  Medicare reassignment Care Compare group NPD
• Tennessee Spine Wellness & Medical Group LLC

  • General Practice Physician
  • Sevierville, TN
  • NPI 1992342307

  TN

  Medicare reassignment NPD
• Healthstar Physicians PC

  • Pain Medicine (Anesthesiology) Physician
  • Morristown, TN
  • NPI 1841187648
  Care Compare group NPD
• Healthstar Physicians PC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1033095476
  Care Compare group
• Healthstar Physicians PC

  • Foot & Ankle Surgery Podiatrist
  • Dandridge, TN
  • NPI 1366302663
  Care Compare group
• Healthstar Physicians, P.C.

  • Family Medicine Physician
  • Newport, TN
  • NPI 1942782883
  Care Compare group
• Healthstar Physicians, PC

  • Internal Medicine Physician
  • Jefferson City, TN
  • NPI 1205226032
  Care Compare group
• Healthstar Physicians, PC

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1891185575
  Care Compare group
• East Tennessee Primary Care Associates

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1134271745
  NPD (past)
• Precision Health Care, Inc

  • Infusion Therapy Clinic/Center
  • Lowell, AR
  • NPI 1902298342
  NPD (past)

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

• Morristown Hamblen Hospital Association

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1023624319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 CREST VIEW CIR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141541",
            "telephone_number": "423-736-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DOCTOR M.L.K. JR PKWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-587-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1436 Crest View Cir",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378141541",
            "country_code": "US",
            "telephone_number": "423-736-9541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACQUAVIVA-KIMBROUGH",
        "first_name": "ANDREA",
        "middle_name": "LORA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Morristown",
            "affiliation": "N",
            "address_1": "1436 Crest View Cir",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378141541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.acquaviva-kimbrough.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1436 Crest View Cir",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378141541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• James E Abernathy II, MD
• Gabriela Borges Abreu
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• Jerry M Adam, CRNA
• Jeffrey S Adams, MD
• Linas Jonas Adams, MD
• Michelle Addair, MS CCC-SLP
• Affordable Dentures & Implants - Morristown III, P.C.

• All providers in Morristown, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.