Individual provider Active NPI

Kimberly Nicole Parrish, FNP

  • Family Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1497344014
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31328 Issued in TN
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.

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 132 clinicians

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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
179907TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Care, P.C. CurrentSince Mar 1, 2022 Accepting new patients
Cumberland Family Care PC CurrentSince Mar 1, 2022 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Apr 28, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Oct 18, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFAD
  • Direct secure messaging: kimberly.parrish@krogerhealth.eclinicaldirectplus.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31328 TN Primary
Registered Nurse 163W00000X 179907 TN

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.