Kimberlee Denise Wyche-Etheridge, MD, MPH

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD0000035585 Issued in TN

Practice address

1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501

Phone

(615) 327-5572

Fax

(615) 327-5555

NPI assigned

May 31, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Meharry Medical College

  • Clinic/Center
  • Nashville, TN
  • NPI 1205859279
  Medicare reassignment NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1386845675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-5572",
            "fax_number": "615-327-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-5572",
            "fax_number": "615-327-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHE-ETHERIDGE",
        "first_name": "KIMBERLEE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000035585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Ryan Wuthrich
• Gina M Wyatt, M.D.
• Kathryn G Wyatt, CCC-SLP
• Sammi Wyatt, HIS
• Sarah Green Wyatt, M.A.
• David A Wyckoff, M.D.
• Kristi Wyckoff, LCSW, LSSW
• Anna Grace Wyer, NONE
• Paige Nicole Wyer, MSN FNP
• Robb Kenneth Wyer, ARNP

• Pediatrics Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.