Kimberly Afton Boone, MD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3191 Issued in TN

Practice address

1350 Concourse Ave Ste 142
Memphis, TN 38104-4570

Phone

(901) 272-0003

Fax

(907) 722-8078

NPI assigned

Jul 9, 2019

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

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Church Health Center of Memphis IncGroup PAC ID 7517863392, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93 of 100Reported as group

Quality

86.11

Improvement activities

40

Cost

85.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.boone.p1@direct.churchhealthcenter.nextgenshare.com

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.

• Church Health Center of Memphis Inc

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1427030907
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1376195594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONCOURSE AVE STE 142",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044570",
            "telephone_number": "901-701-2032",
            "fax_number": "907-722-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONCOURSE AVE STE 142",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044570",
            "telephone_number": "901-272-0003",
            "fax_number": "907-722-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "KIMBERLY",
        "middle_name": "AFTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zorana J. Booker, PHARMD
• Judith S Bookman, LCSW
• Alan D Boom, MD
• Emily Boone, RN
• James Earle Boone, MD
• Laurie Boone, RPH
• Frederick A Boop, MD
• Earmonika J Booth, B.S.
• Robert Douglas Booth, PA-C
• Torneshia Booth

• Registered Dietitian in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.