Individual provider Active NPI

Kimberly A West, APRN, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1578199196
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27290 Issued in TN
Practice address
5600 Brainerd Rd Ste A4
Chattanooga, TN 37411-5336
Phone
(423) 266-4588
Fax
(865) 342-0103
NPI assigned
Mar 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27290 TN Primary

Addresses

Primary practice location

5600 Brainerd Rd Ste A4
Chattanooga, TN 37411-5336

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other practice location 1

6784 Highway 411
Benton, TN 37307-4818
Phone (423) 338-8995 ext. 1217

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824002260 TN Practitioner - Nurse Practitioner 5890112718 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27290TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocoee Regional Health Corporation CurrentSince Nov 24, 2021 Accepting new patients
Cherokee Health Systems CurrentSince Jan 7, 2023 Accepting new patients
Ocoee Regional Health Corporation CurrentSince Nov 24, 2021 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Cherokee Health Systems CurrentSince Jan 7, 2023 Accepting new patients
Ocoee Regional Health Corporation Current Accepting new patients

Locations

5600 Brainerd Rd
Ste A4
Chattanooga, TN 37411
Phone (423) 266-4588

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: kimberlywest@tnmhpf.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1578199196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BRAINERD RD STE A4",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115336",
            "telephone_number": "423-266-4588",
            "fax_number": "865-342-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6784 Highway 411",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "TN",
            "postal_code": "373074818",
            "country_code": "US",
            "telephone_number": "423-338-8995 x1217",
            "fax_number": "423-338-8996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2023-02-21",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.