Individual provider Active NPI

Kimberly Zuhayl Lopez Clemente

  • Family Medicine Physician
  • McMinnville, TN
National Provider Identifier
1487276796
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LE173333 Issued in FL
Practice address
1410 Sparta St Ste 6
McMinnville, TN 37110-1376
Phone
(931) 474-7700
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LE173333 FL Primary
Family Medicine Physician 207Q00000X 75143 TN

Addresses

Primary practice location

1410 Sparta St Ste 6
McMinnville, TN 37110-1376

Mailing address

10300 NW 10TH Ave
Miami, FL 33150-1015
Phone (340) 332-5025

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
LE173333FLMDFamily Medicine Physician
75143TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1487276796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 NW 10TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501015",
            "telephone_number": "340-332-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SPARTA ST STE 6",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101376",
            "telephone_number": "931-474-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CLEMENTE",
        "first_name": "KIMBERLY",
        "middle_name": "ZUHAYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "LE173333",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "75143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.