Individual provider Active NPI

Joye Bandy Kimbrell, FNP

  • Family Nurse Practitioner
  • Lebanon, VA
National Provider Identifier
1538418686
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170129 Issued in VA
Practice address
142 Highland Dr
Lebanon, VA 24266-4636
Phone
(276) 889-0433
Fax
(276) 415-9170
NPI assigned
Sep 5, 2012
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000016803 TN
Family Nurse Practitioner 363LF0000X 0024170129 VA Primary

Addresses

Primary practice location

142 Highland Dr
Lebanon, VA 24266-4636

Mailing address

142 Highland Dr
Lebanon, VA 24266-4636
Phone (276) 889-0433

Other identifiers 2

IdentifierTypeStateIssuer
103I502390OtherTNMEDICARE
1529935MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131113000313 VA Practitioner - Nurse Practitioner 4789836677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samina Yousuf MD PCGroup PAC ID 4880660604, 10 clinicians

Practice addresses (Care Compare)

142 Highland Dr
Lebanon, VA 24266-4636
Phone (276) 415-9850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170129VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpoint Medical Clinic LLC Past Accepting new patients
Inpatient Consultants of North Carolina, PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1538418686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664636",
            "telephone_number": "276-889-0433",
            "fax_number": "276-889-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664636",
            "telephone_number": "276-889-0433",
            "fax_number": "276-415-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "JOYE",
        "middle_name": "BANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016803",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I502390",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529935",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.