Kimberly Marie McMahan

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000061259 Issued in TN

Practice address

620 Eagle Bend Rd
Clinton, TN 37716-3825

Phone

(865) 208-5760

Fax

(865) 264-5279

NPI assigned

Sep 14, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1407406119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 EAGLE BEND RD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163825",
            "telephone_number": "865-208-5760",
            "fax_number": "865-264-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 EAGLE BEND RD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163825",
            "telephone_number": "865-208-5760",
            "fax_number": "865-264-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000061259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda S McCall, FNP, BC
• Genua L McCallister
• Jennifer McCormick, M.S., CCC-SLP
• Sierra Cheyenne McCullah
• Alexandra Maria McKane, DO
• Ann S McMurray, SLP
• Ashlie McNeeley, PHARM.D.
• Edward Trent McNeeley, MD
• Howard B McNeeley, M.D.
• Jilliane Lee McNew, FNP-BC

• Licensed Practical Nurse in Clinton, TN
• Providers in Clinton, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.