Kimberly L Hannah

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

4606 Issued in TN

Practice address

330 Pageant LN
Clarksville, TN 37040-3854

Phone

(931) 648-5747

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417165564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BITER RD",
            "address_2": "PO BOX 32",
            "city": "CUNNINGHAM",
            "state": "TN",
            "postal_code": "370524717",
            "telephone_number": "931-624-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PAGEANT LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403854",
            "telephone_number": "931-648-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waheed Hamzat, EMT
• Mary Hancock, RBT
• Phillip Haney
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Susan O Hankins, NP
• Caroline Hansrote, MS
• Jessica Renee Harden, BCBA
• Kimberly Jean Hardenburgh, NP
• Rebecca Hardesty
• Kathleen Newsom Hardie, L.C.S.W.

• Dental Hygienist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.