Jessica Brush Kimball

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

177599 Issued in TN

Practice address

1924 Alcoa Hwy # U109
Knoxville, TN 37920-1511

Phone

(865) 305-9220

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

Yes

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

Certified Registered Nurse Anesthetist (Crna)

Education

University of Tennessee, HSC, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University Anesthesiologists, PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1073619466

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University Anesthesiologists, PLLC

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1558479279
  NPD (past)

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1396171906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JESSICA",
        "middle_name": "BRUSH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "177599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kim, M.D.
• Sieon Kim, AUD
• Stella Kim, DDS
• Tomoko Kim, DSCPT
• Cathy Kimball, N.P.
• Jimmy Clarke Kimball, MD
• Kristopher J. Kimball, MD
• Gaige Tycean Kimbell
• Erin Groh Kimble, PA-C
• James R. Kimble, M.D.

• Certified Registered Nurse Anesthetist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.