Kimberly Michelle Thornton, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000002751 Issued in TN

Practice address

820 Gale LN
Nashville, TN 37204-3012

Phone

(615) 298-5406

Fax

(615) 577-4010

NPI assigned

Mar 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Kimberly Michelle Carlon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberly.thornton.1@20456.direct.athenahealth.com

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.

• Siloam Family Health Center

  • Primary Care Clinic/Center
  • Nashville, TN
  • NPI 1578617411
  NPD (past)

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1083957880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 GALE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043012",
            "telephone_number": "615-298-5406",
            "fax_number": "615-577-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 GALE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043012",
            "telephone_number": "615-298-5406",
            "fax_number": "615-577-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-505",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000002751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198732795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CARLON",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerald M Thorburn, MD
• Ramona Thornberry, DPH
• Catherine M Thornburg, M.D.
• Amanda A Thornton, CRNA
• Budonna Carole Thornton, CRNA
• Mary Katelin Thornton, MSN, APN, CPNP-PC
• Michael C Thornton, PA-C
• Patricia Evelyn Thornton, LPC
• Patrick D Thornton, CNM
• Shaniqua Thornton

• Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.