Active NPI
Kimberly D Dula, MSN, APRN, BC, FNP
- Family Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1508903113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024165763
- Practice address
- 801 E Watauga Ave
Johnson City, TN 37601-4113 - Phone
- (276) 967-1769
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024165763 | VA | Primary |
Addresses
Primary practice location
801 E Watauga Ave
Johnson City, TN 37601-4113
Mailing address
PO Box 852
Richlands, VA 24641-0852
Phone (276) 356-5729
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165763 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784419200000",
"number": "1508903113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 852",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246410852",
"telephone_number": "276-356-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014113",
"telephone_number": "276-967-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULA",
"first_name": "KIMBERLY",
"middle_name": "D",
"credential": "MSN, APRN, BC, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024165763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.