Individual provider Active NPI

Kimberly S Nash, NP

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1235542085
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18943 Issued in TN
Practice address
631 Campus Dr
Abingdon, VA 24210-9700
Phone
(276) 676-3870
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 35275 TN
Registered Nurse 163W00000X 0001116315 VA
Family Nurse Practitioner 363LF0000X 18943 TN Primary

Addresses

Primary practice location

631 Campus Dr
Abingdon, VA 24210-9700

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066

Other practice location 1

121 E Ravine Rd
Suite 200
Kingsport, TN 37660-3816
Phone (423) 392-4908

Other practice location 2

16000 Johnston Memorial Dr Ste 212A
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 3

743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200

Other practice location 4

671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874

Other practice location 5

245 Medical Park Dr Ste A
Marion, VA 24354-1100
Phone (276) 378-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150216000577 TN Practitioner - Nurse Practitioner 8527972975 Reassigns benefits to 1 organization
I20160411000054 VA Practitioner - Nurse Practitioner 8527972975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
35275TNMDParamedic
0001116315VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Aug 25, 2014 Accepting new patients
Holston Medical Group PC CurrentSince Feb 19, 2024 Accepting new patients

Locations

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

631 Campus Dr
Abingdon, VA 24210
Phone (276) 676-3870

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1235542085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109700",
            "telephone_number": "276-676-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E Ravine Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603816",
            "country_code": "US",
            "telephone_number": "423-392-4908",
            "fax_number": "423-392-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 212A",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242017403",
            "country_code": "US",
            "telephone_number": "276-469-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Highway 58 E",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242733007",
            "country_code": "US",
            "telephone_number": "276-679-5874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TN",
            "license": "35275",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001116315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.