Caitlin Annice Kimmerling

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

28969 Issued in TN

Practice address

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384

Phone

(615) 824-0043

NPI assigned

Feb 18, 2021

Last updated

May 26, 2022By the provider in NPPES

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

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

Telehealth

Offers telehealth services

Group practices

Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlin.kimmerling.1@7654.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment Care Compare group NPD
• Saint Thomas Medical Partners

  dba Baptist Sports Medicine

  • Clinical Neuropsychologist
  • Nashville, TN
  • NPI 1558506980
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1134712292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 MURPHY AVE STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "615-824-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Murphy Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032023",
            "country_code": "US",
            "telephone_number": "615-327-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMERLING",
        "first_name": "CAITLIN",
        "middle_name": "ANNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "28969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Wayne Key, D.C.
• Jaclyn Kienzle, M.A., CCC, SLP
• Susan H Kihlmire, APRN,BC
• Damian Kim, DDS
• Stevie Michelle Kimbrough
• Michelle King, PAC
• Victoria Kinghorn, OTD, OTR/L
• Donald Kinkel, MD
• Nix Danielle Kinney
• Marla Kissack

• Acute Care Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.