Active NPI
Karen Sue Kimes, RN
- Registered Nurse
- Kingsport,, TN
National Provider Identifier
1174658678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0000108690
- Practice address
- 1041 E. Sullivan St.
Kingsport,, TN 37660 - Phone
- (423) 224-1626
- Fax
- (423) 224-1640
- NPI assigned
- Feb 23, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000108690 | TN | Primary |
Addresses
Primary practice location
1041 E. Sullivan St.
Kingsport,, TN 37660
Mailing address
1041 E. Sullivan Street
Kingsport,, TN 37660
Phone (423) 224-1626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000108690 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174658678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 E. SULLIVAN STREET",
"city": "KINGSPORT,",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-224-1626",
"fax_number": "423-224-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 E. SULLIVAN ST.",
"city": "KINGSPORT,",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-224-1626",
"fax_number": "423-224-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMES",
"first_name": "KAREN",
"middle_name": "SUE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000108690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport,, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.