Individual provider Active NPI

Kimberly M Smith, APN

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1053402339
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN7427 Issued in TN
Practice address
4713 Papermill Dr Ste 100
Knoxville, TN 37909-1924
Phone
(865) 851-7771
Fax
(865) 851-7835
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN7427 TN Primary

Addresses

Primary practice location

4713 Papermill Dr Ste 100
Knoxville, TN 37909-1924

Mailing address

4713 Papermill Dr Ste 100
Knoxville, TN 37909-1924
Phone (865) 851-7771

Other identifiers 1

IdentifierTypeStateIssuer
1530375MedicaidTN

Other names 1

  • Kimberly Morgan Calnan Former name

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
I20121126000628 TN Practitioner - Nurse Practitioner 1658522560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmunds Gastroenterology PLLCGroup PAC ID 4486908969, 4 clinicians

Practice addresses (Care Compare)

4713 Papermill Dr
Knoxville, TN 37909-1908
Phone (865) 851-7771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.2 of 100Reported as group
Quality
70.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7427TNMDDentist
APN7427TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edmunds Gastroenterology, PLLC CurrentSince Mar 3, 2021 Accepting new patients

Locations

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

4713 Papermill Dr
Knoxville, TN 37909
Phone (865) 696-2906

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1053402339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 PAPERMILL DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091924",
            "telephone_number": "865-851-7771",
            "fax_number": "865-851-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 PAPERMILL DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091924",
            "telephone_number": "865-851-7771",
            "fax_number": "865-851-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN7427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530375",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CALNAN",
            "middle_name": "MORGAN",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.