Active NPI
Kimberly Zuhayl Lopez Clemente
- Family Medicine Physician
- McMinnville, TN
National Provider Identifier
1487276796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LE173333
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LE173333 | FL | MD | Family Medicine Physician |
| 75143 | TN | MD | Family 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.