Individual provider Active NPI

Sharonda Lynne Kimble, FNP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1386238129
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28971 Issued in TN
Practice address
675 Oakleaf Office LN Ste 200
Memphis, TN 38117-4863
Phone
(901) 512-4632
Fax
(901) 512-4684
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28971 TN Primary

Addresses

Primary practice location

675 Oakleaf Office LN Ste 200
Memphis, TN 38117-4863

Mailing address

PO Box 770750
Memphis, TN 38177-0750

Other names 1

  • Sharonda Lynne Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210329000684 TN Practitioner - Nurse Practitioner 8325455967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Primary Care, PLLCGroup PAC ID 6901108661, 5 clinicians

Practice addresses (Care Compare)

675 Oakleaf Office LN
Suite 200
Memphis, TN 38117-4863
Phone (901) 512-4632

Hospital & facility affiliations

  • Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
100
Promoting interoperability
93
Improvement activities
40
Cost
72.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Primary Care, PLLC CurrentSince Feb 25, 2021 Accepting new patients

Locations

675 Oakleaf Office Ln
Ste 200
Memphis, TN 38117
Phone (901) 512-4632

5658 S Rex Rd
Ste 200
Memphis, TN 38119

Interoperability endpoints

  • Direct secure messaging: sharonda.kimble.1@29255.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1386238129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770750",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OAKLEAF OFFICE LN STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174863",
            "telephone_number": "901-512-4632",
            "fax_number": "901-512-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "SHARONDA",
        "middle_name": "LYNNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARONDA",
            "last_name": "ROBINSON",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.