Kimba Annette Mays, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN0000095298 Issued in TN

Practice address

804 N Parkway
Jackson, TN 38305-3058

Phone

(731) 927-8529

Fax

(731) 927-8600

NPI assigned

Apr 24, 2007

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 identifiers 1

Other names 1

• Kim Mays Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1174741961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 COTTON GROVE RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058215",
            "telephone_number": "731-423-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-927-8529",
            "fax_number": "731-927-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "KIMBA",
        "middle_name": "ANNETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000095298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4448133",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "MAYS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jenny Lynn Maynard
• Lisa C Mayo, DPH
• Michelle Mayo
• Abby Mays
• Chivonne J Mays, LAPSW
• Sammy L Mays, CASE MANAGER
• Johnathan Blake McAdams, PT
• Thomas Monte McAlexander, D.D.S.
• Twellia Latise McAlpin
• Gary McBride, MD

• Community Health Registered Nurse in Jackson, TN
• Providers in Jackson, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.