Kimberly Jolene Davis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN88261 Issued in TN

Practice address

255 E Watt St
Alcoa, TN 37701-2236

Phone

(865) 273-1616

Fax

(865) 273-1645

NPI assigned

Jun 6, 2017

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

Other names 1

• Kimberly Jolene Dell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1093244709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY DEPT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E WATT ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012236",
            "telephone_number": "865-273-1616",
            "fax_number": "865-273-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "JOLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN88261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DELL",
            "middle_name": "JOLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly Crim, M.D.
• Danielle Marie Curtis, MS
• Katherine Kesler Dabbs, M.D.
• Kendra Renee Dailey, M.A.
• Sheena L Dalton, LMSW
• Lori Michelle Davis
• Andrew Gregory Anthony De Nazareth, M.B.B.S.
• Daneille Marie Delucia, MPS
• Catherine Ann Dennis
• Heather Ryan Deyton, LMFT

• Licensed Practical Nurse in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.