Individual provider Active NPI

Kimberly M Hoots, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1265953186
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22807 Issued in TN
Practice address
3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761
Phone
(865) 374-0600
NPI assigned
Jun 30, 2017
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22807 TN Primary

Addresses

Primary practice location

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761

Mailing address

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761
Phone (865) 374-0600

Other practice location 1

4881 Taylor Circle Drive
Collegedale, TN 37315
Phone (865) 556-4905

Other identifiers 1

IdentifierTypeStateIssuer
Q069574MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 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
I20180629002216 TN Practitioner - Nurse Practitioner 2466708649 Reassigns benefits to 5 organizations
I20230812000020 FL Practitioner - Nurse Practitioner 2466708649

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Segue Health Partners LLCGroup PAC ID 5496020521, 29 clinicians

Practice addresses (Care Compare)

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (901) 626-3515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health Partners LLC CurrentSince Mar 20, 2023 Accepting new patients
Covenant Homecare CurrentSince Nov 8, 2021 Accepting new patients
Palliative Care Services, PLLC CurrentSince May 27, 2019 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 4, 2019 Accepting new patients
Covenant Homecare CurrentSince Nov 8, 2021 Accepting new patients
Cumberland Spine & Sport, LLC Past Accepting new patients

Locations

2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 498-3788

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

9161 Middlebrook Pike
Knoxville, TN 37923
Phone (865) 690-3386

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1265953186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4881 Taylor Circle Drive",
            "address_purpose": "LOCATION",
            "city": "Collegedale",
            "state": "TN",
            "postal_code": "37315",
            "country_code": "US",
            "telephone_number": "865-556-4905",
            "fax_number": "865-556-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOTS",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q069574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.