NPIMap

Individual provider Active NPI

Haley Kimbrell, FNP

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1598213670
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21807 Issued in TN
Practice address
416 N Locust Ave
Lawrenceburg, TN 38464-3552
Phone
(931) 762-8588
Fax
(931) 766-1010
NPI assigned
Sep 16, 2016
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 APN21807 TN
Family Nurse Practitioner 363LF0000X 21807 TN Primary

Addresses

Primary practice location

416 N Locust Ave
Lawrenceburg, TN 38464-3552

Mailing address

416 N Locust Ave
Lawrenceburg, TN 38464-3552
Phone (931) 762-8588

Other practice location 1

1900 West Point Rd.
West Point, TN 38486
Phone (931) 853-6377

Other identifiers 1

IdentifierTypeStateIssuer
Q025299MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012002989 TN Practitioner - Nurse Practitioner 2567750276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 N Locust Ave
Lawrenceburg, TN 38464-3552
Phone (931) 762-8588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21801TNMDPharmacist
21807TNMDFamily Nurse Practitioner
APN21807TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Comfort-Primary and Chronic Care Management CurrentSince May 1, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 1, 2016 Accepting new patients

Locations

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

416 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-5115

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FABHCD/Endpoint/FABHCD

Organizations & group practices 2

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 10

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1598213670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643552",
            "telephone_number": "931-762-8588",
            "fax_number": "931-766-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643552",
            "telephone_number": "931-762-8588",
            "fax_number": "931-766-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 West Point Rd.",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "TN",
            "postal_code": "38486",
            "country_code": "US",
            "telephone_number": "931-853-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "HALEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-01-15",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN21807",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025299",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.