Individual provider Active NPI

Kimberly Elaine Everett, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1427501196
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21543 Issued in TN
Practice address
9161 Middlebrook Pike
Knoxville, TN 37923-1438
Phone
(865) 694-2900
NPI assigned
Jul 29, 2016
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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 21543 TN Primary

Addresses

Primary practice location

9161 Middlebrook Pike
Knoxville, TN 37923-1438

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

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
I20161101000770 TN Practitioner - Nurse Practitioner 7416235114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

1820 Roane State Hwy
Harriman, TN 37748-8307
Phone (865) 717-4468

234 E Emory Rd
Powell, TN 37849-4015
Phone (865) 761-7125

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

9161 Middlebrook Pike
Knoxville, TN 37923-1438
Phone (865) 694-2900

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21543TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Sep 28, 2016 Accepting new patients

Locations

9161 Middlebrook Pike
Knoxville, TN 37923
Phone (865) 690-3386

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: kimberly.everett@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1427501196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9161 MIDDLEBROOK PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231438",
            "telephone_number": "865-694-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "KIMBERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.