Active NPI
Kimberly Byars, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1093313892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3465
- Practice address
- 3810 Winchester Rd
Memphis, TN 38118-6045 - Phone
- (901) 369-1400
- Fax
- (901) 369-1479
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3465 | TN | Primary |
Addresses
Primary practice location
3810 Winchester Rd
Memphis, TN 38118-6045
Mailing address
2220 Union Ave
Memphis, TN 38104-4315
Phone (901) 567-3554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kbyars@alliance-hs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3465 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1093313892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044315",
"telephone_number": "901-567-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381186045",
"telephone_number": "901-369-1400",
"fax_number": "901-369-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYARS",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "3465",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kbyars@alliance-hs.org",
"affiliation": "N",
"address_1": "3810 Winchester Rd",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381186045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.