Kimberly Devault Hyder, RN, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000004769 Issued in TN

Practice address

6600 Peachtree Dunwoody Rd NE
Building 400, Suite 125
Atlanta, GA 30328-6773

Phone

(866) 587-9922

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Devault Cole Former 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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1275809816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 SEVEN OAKS DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141475",
            "telephone_number": "423-736-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY RD NE",
            "address_2": "BUILDING 400, SUITE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286773",
            "telephone_number": "866-587-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDER",
        "first_name": "KIMBERLY",
        "middle_name": "DEVAULT",
        "name_prefix": "Mrs.",
        "credential": "RN, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000128312",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000004769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "COLE",
            "middle_name": "DEVAULT",
            "credential": "RN, PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kesha Hyacinth
• Allison Hyatt
• Courtland Stevens Hyatt, PHD
• Owen Andre Romario Hyatt, M.B.B.S
• Lara Bradbury Hyde
• Hygea of Georgia, LLC
• Susan Hyland, WHNP-BC
• Julian Hylton
• Brooke Jillian Hyman
• Leanne Hymes, PT

• Physical Therapy Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.