Active NPI
Kimberly Harris Hawkins, DPH
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1568707339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5881
- Practice address
- 1600 E 23Rd St
Chattanooga, TN 37404-5707 - Phone
- (423) 629-4155
- Fax
- (423) 629-4155
- NPI assigned
- Dec 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5881 | TN | Primary |
Addresses
Primary practice location
1600 E 23Rd St
Chattanooga, TN 37404-5707
Mailing address
9122 Tennga LN
Chattanooga, TN 37421-4563
Phone (423) 987-4722
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5881 | TN | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1568707339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9122 TENNGA LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214563",
"telephone_number": "423-987-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E 23RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374045707",
"telephone_number": "423-629-4155",
"fax_number": "423-629-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "KIMBERLY",
"middle_name": "HARRIS",
"name_prefix": "Ms.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "5881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.