Active NPI
Kimberly Nicole Parrish, FNP
- Family Nurse Practitioner
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31328
- Practice address
- 1418 W Main St
Lebanon, TN 37087-4824 - Phone
- (931) 319-7636
- NPI assigned
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 Nurse Practitioner
- White House, TN
- NPI 1487848800
Family, TN
-
- Health Service Clinic/Center
- Spencer, TN
- NPI 1679771356
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Little Clinic of Tennessee LLC
Practice addresses (Care Compare)
1418 W Main St
Lebanon, TN 37087-3380
Phone (615) 453-7720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220415000111 | TN | Practitioner - Nurse Practitioner | 6103212345 | Reassigns benefits to 2 organizations |
| I20250513000142 | KY | Practitioner - Nurse Practitioner | 6103212345 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179907 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Care, P.C. | Current | Accepting new patients | |
| Cumberland Family Care PC | Current | Accepting new patients | |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
Locations
2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
1418 W Main St
Lebanon, TN 37087
Phone (615) 449-4653
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
8141 Highway 100
Nashville, TN 37221
Phone (615) 515-0026
457 Vista Dr
Sparta, TN 38583
Phone (931) 738-3383
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBFAD
- kimberly.parrish@krogerhealth.eclinicaldirectplus.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31328 | TN | Primary |
| Registered Nurse | 163W00000X | 179907 | TN |
Addresses
NPPES NPI RegistryPrimary practice location
1418 W Main St
Lebanon, TN 37087-4824
Mailing address
1418 W Main St
Lebanon, TN 37087-4824
Phone (931) 319-7636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2024.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1497344014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 W MAIN ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874824",
"telephone_number": "931-319-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 W MAIN ST",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874824",
"telephone_number": "931-319-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "KIMBERLY",
"middle_name": "NICOLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "31328",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "179907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.