Kimberly Ann Perry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6754 Issued in TN

Practice address

3651 Tullahoma Hwy
Winchester, TN 37398-4940

Phone

(931) 962-4082

Fax

(931) 962-4084

NPI assigned

Apr 19, 2006

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

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Medical Center of Decherd Inc.

  • Family Nurse Practitioner
  • Winchester, TN
  • NPI 1124218631
  Medicare reassignment NPD Authorized official
• Complete Express Care, LLC

  • Urgent Care Clinic/Center
  • Winchester, TN
  • NPI 1083909204

  Family

  NPD (past)
• Tullahoma Hma LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Tullahoma, TN
  • NPI 1750904041
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern Tennessee Medical Center LLC

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1457316630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 TULLAHOMA HWY",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373984940",
            "telephone_number": "931-962-4082",
            "fax_number": "931-962-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 TULLAHOMA HWY",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373984940",
            "telephone_number": "931-962-4082",
            "fax_number": "931-962-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724619",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "3724619",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PIN",
            "identifier": "3724619",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic & Sports Medicine Clinic PLLC
• Osa-Ha Medical Practice, P.C.
• Natalie C Owsley, NP-C
• Ryan Scott Parton, APRN
• Patrick R. Greer, MD, PLLC
• Donald M Philpott, M.D.
• Pinnacle Internal Medicine PLLC
• Emily Kramer Prince, PA-C
• Professional Health Service, LLC
• William McBride Pryor, M.D.

• Family Nurse Practitioner in Winchester, TN
• Providers in Winchester, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.