Individual provider Active NPI

Amari Jarvien Kimble, DC

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1437627700
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013168 Issued in NY
Practice address
4245 Cherry Center Dr Ste 1
Memphis, TN 38118-2942
Phone
(901) 542-0600
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013168 NY Primary

Addresses

Primary practice location

4245 Cherry Center Dr Ste 1
Memphis, TN 38118-2942

Mailing address

4245 Cherry Center Dr Ste 1
Memphis, TN 38118-2942
Phone (901) 542-0600

Other practice location 1

75 Summit Ave
Hackensack, NJ 07601-8504
Phone (201) 880-8863

Other practice location 2

11 W 67th St
New York, NY 10023-6237
Phone (201) 880-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013168NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1437627700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 CHERRY CENTER DR STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182942",
            "telephone_number": "901-542-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 CHERRY CENTER DR STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182942",
            "telephone_number": "901-542-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076018504",
            "country_code": "US",
            "telephone_number": "201-880-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 W 67th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100236237",
            "country_code": "US",
            "telephone_number": "201-880-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "AMARI",
        "middle_name": "JARVIEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.