Individual provider Active NPI

Kimberly G. Slate, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1427031038
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6417 Issued in TN
Practice address
6025 Walnut Grove Rd Ste 627
Memphis, TN 38120-2126
Phone
(901) 767-3321
Fax
(901) 767-3908
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6417 TN Primary

Addresses

Primary practice location

6025 Walnut Grove Rd Ste 627
Memphis, TN 38120-2126

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other names 1

  • Kimberly G. Echols 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
I20100804000337 TN Practitioner - Nurse Practitioner 7012040579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

6025 Walnut Grove Rd
Suite 627
Memphis, TN 38120-2126
Phone (901) 767-3321

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6417TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Aug 1, 2011 Accepting new patients
Cary M Finn & Associates, P. C. Current Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 1, 2011 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6025 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 226-0456

6025 Walnut Grove Rd
Ste 627
Memphis, TN 38120
Phone (901) 763-1695

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

6029 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 747-9081

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: kslate4514@direct.bmhcc.org

Organizations & group practices 3

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 7

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1427031038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 627",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202126",
            "telephone_number": "901-767-3321",
            "fax_number": "901-767-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATE",
        "first_name": "KIMBERLY",
        "middle_name": "G.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ECHOLS",
            "middle_name": "G.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.