Tara Beth Kimbro

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

201 Park Blvd
Rogersville, TN 37857-2919

Phone

(423) 272-7641

Fax

(423) 921-8073

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1255524161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 STONEY FORK RD",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378694643",
            "telephone_number": "423-272-7641",
            "fax_number": "423-921-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK BLVD",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378572919",
            "telephone_number": "423-272-7641",
            "fax_number": "423-921-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRO",
        "first_name": "TARA",
        "middle_name": "BETH",
        "name_prefix": "Prof.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah S Kersey, PA-C
• Kimberly S Kirkpatrick, DPH
• Lindsey Raye Kiser, PHARMD
• Raymond J Krenzer
• Alaina M Kuebler, OTR
• Constance Sue Lackner, MSN APRN BC

• Case Manager/Care Coordinator in Rogersville, TN
• Providers in Rogersville, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.