Kimberly Gean Redfearn, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19223 Issued in TN

Practice address

13851 Highway 28
Whitwell, TN 37397-5373

Phone

(423) 658-9200

Fax

(423) 658-2195

NPI assigned

Oct 13, 2014

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

Enrolled in TN, AR2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, TN

  Medicare reassignment NPD
• Amg-Southern Tennessee LLC

  • Rural Health Clinic/Center
  • Palmer, TN
  • NPI 1962743054
  NPD (past)
• John C McKeown MD

  • Family Medicine Physician
  • Palmer, TN
  • NPI 1194268938
  NPD (past)
• John C McKeown, MD

  • Family Medicine Physician
  • Palmer, TN
  • NPI 1497126700
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1356745848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 FAMILY RD",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373276545",
            "telephone_number": "423-949-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 HIGHWAY 28",
            "city": "WHITWELL",
            "state": "TN",
            "postal_code": "373975373",
            "telephone_number": "423-658-9200",
            "fax_number": "423-658-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFEARN",
        "first_name": "KIMBERLY",
        "middle_name": "GEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Rene Long, REGISTERED NURSE
• Frederick Kirk McDermott, M.A., LPC, MHSP
• David Alford Nunley
• Park Medical
• Jung Tae Park, MD
• Delanie Alexis Roberts
• Donald Allen Smith
• Southern Home Care Services, Inc.
• Specialized Behavior Solutions
• Joeleigh Taylor

• All providers in Whitwell, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.