Faye Marie Kibler, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5846 Issued in TN

Practice address

10810 Parkside Dr Ste 209
Knoxville, TN 37934-1985

Phone

(865) 251-3030

Fax

(865) 966-0191

NPI assigned

Apr 2, 2019

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Faye Marie Tata Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: faye.kibler@ahp.eclinicaldirectplus.com
• Direct secure messaging: ftata33131@direct.utmsa.com

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.

• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• DRK Rehabilitation PLLC

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
  • NPI 1184454076
  Medicare reassignment NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Advanced Specialists, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1649133463

  Physical Medicine & Rehabilitation

  NPD

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

• Metro Knoxville Hma LLC

  dba Tennova Healthcare North Knoxville Medical Center

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1548722168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 209",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341985",
            "telephone_number": "865-251-3030",
            "fax_number": "865-966-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "248-767-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "FAYE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "5846",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "5846",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "5846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tata@uthscsa.edu",
            "affiliation": "Y",
            "affiliationName": "UTHSCSA",
            "address_1": "7703 Floyd Curl Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FAYE",
            "last_name": "TATA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Parinda Khatri, PHD
• Barbara A Kholer, MA
• Alisa Khomutova, MD
• Chelsea Rhea Kibert, COTA/L
• Daniel Kibler, DO
• Eda Kicki, N.P.
• Felicia Renee Kidd
• Leslie Kidd
• Savannah Roberts Kidd, PA-C
• Brittany Paige Kidwell, FNP-BC

• Physical Medicine & Rehabilitation Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.