Kimberly Lovelady, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12316 Issued in TN

Practice address

460 N Parkway
Jackson, TN 38305-2818

Phone

(731) 554-0460

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Front Page Fame LLC

  • Community/Behavioral Health Agency
  • Jackson, TN
  • NPI 1588022727

  Community Health Worker

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1194370320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TURTLE CREEK DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051785",
            "telephone_number": "314-313-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052818",
            "telephone_number": "731-554-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Wiley Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052226",
            "country_code": "US",
            "telephone_number": "731-203-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELADY",
        "first_name": "KIMBERLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "12316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majorie A Looney, CRNA
• Louviere Enterprises, Inc.
• Cierra Love Qawwi, RBT
• Gary Wayne Lovejoy, M.S.
• Ava Elizabeth Lovelace, NP
• William R Lovelady
• Loving Arms, LLC
• Jeffrey Mixon Lowe, LPC-MHSP
• Mary E Lowe, SLP
• Patricia Dawn Lowery, B.S., CLC

• Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.

Verify at the official NPI Registry.