Individual provider Active NPI

Kimbra L Lingerfelt, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1285635268
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
06423 Issued in TN
Practice address
251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2728
Phone
(423) 826-8000
Fax
(423) 826-8005
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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 06423 TN Primary

Addresses

Primary practice location

251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2728

Mailing address

2118 Stein Dr
Chattanooga, TN 37421-1691
Phone (423) 648-4900

Other identifiers 1

IdentifierTypeStateIssuer
3929034MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20040702001081 TN Practitioner - Nurse Practitioner 3173500501 Reassigns benefits to 1 organization
I20070717000536 GA Practitioner - Nurse Practitioner 3173500501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

2118 Stein Dr
Chattanooga, TN 37421-1691
Phone (423) 648-4900

251 N Lyerly St
Chattanooga, TN 37404-2743
Phone (423) 826-8000

5483 Little Debbie Pkwy
Ooltewah, TN 37363-8409
Phone (423) 541-3450

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
81.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06423TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp CurrentSince Aug 3, 2014 Accepting new patients
Kidney Center of Cleveland, LLC PastSince Jan 1, 2013 Accepting new patients

Locations

201 Thomas Rd
Ft Oglethorpe, GA 30742
Phone (615) 342-0472

2118 Stein Dr
Chattanooga, TN 37421
Phone (423) 648-4900

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1285635268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 STEIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211691",
            "telephone_number": "423-648-4900",
            "fax_number": "423-648-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042728",
            "telephone_number": "423-826-8000",
            "fax_number": "423-826-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGERFELT",
        "first_name": "KIMBRA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "06423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3929034",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.