Individual provider Active NPI

Kimberly Fernando, FNP-BC

  • Family Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1609541358
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906375 Issued in MS
Practice address
201 Jordan Rd Ste 200
Franklin, TN 37067-4495
Phone
(877) 319-5573
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 906375 MS Primary

Addresses

Primary practice location

201 Jordan Rd Ste 200
Franklin, TN 37067-4495

Mailing address

201 Jordan Rd Ste 200
Franklin, TN 37067-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240105002413 MS Practitioner - Nurse Practitioner 4082065800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

902 SGT John a Pittman Dr
Greenwood, MS 38930-7343
Phone (662) 453-9173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906375MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Dec 2, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince Mar 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 5, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

902 Sgt John a Pittman Dr
Greenwood, MS 38930
Phone (662) 392-8163

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

925 Calhoun Ave
Yazoo City, MS 39194
Phone (662) 746-6651

201 Jordan Rd
Ste 200
Franklin, TN 37067
Phone (615) 595-8383

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424

Interoperability endpoints

  • Direct secure messaging: kimberly.fernando.p1@direct.glh.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1609541358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JORDAN RD STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JORDAN RD STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674495",
            "telephone_number": "877-319-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "KIMBERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.