Laura N Kimball, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

34831 Issued in TN

Practice address

482 Interstate Dr
Manchester, TN 37355-3485

Phone

(931) 728-4718

NPI assigned

Oct 18, 2023

Last updated

Aug 21, 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 1

Addresses

Other identifiers 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
• Unity Medical Center Hospital, Manchester, TN, CCN 440007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.04

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Guidestar Eldercare - TN, P.C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1023791449

  Nurse Practitioner

  Medicare reassignment NPD
• Coffee Medical Group LLC

  dba Center for Family Medicine

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  Care Compare group
• Coffee Medical Group LLC

  dba Unity Medical Center

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179
  NPD (past)
• Coffee Medical Group LLC

  dba Manchester Rural Health Clinic

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1043537046
  NPD (past)

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

• Adoration Home Health, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Madison, TN
  • NPI 1790161321
  Care Compare affiliation
• Coffee Medical Group LLC

  dba Unity Medical Center

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179
  Care Compare affiliation

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1689456287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553108",
            "telephone_number": "931-728-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553485",
            "telephone_number": "931-728-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "LAURA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34831",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantal Elise Jordan
• Patricia W Jordan, APN
• Jamie Keele, OD
• Katherine Elizabeth Keen Saunders, D.D.S.
• Linda Elaine Kennedy, RN
• Leslie M King, PHARM.D.
• Michael Todd Kirkland, PH.D.
• Marjorie Ann Kohl-Carter, LMT, CTA
• Jacqueline J Koss, CNP
• Candice Rachelle Kusch, NP

• Nurse Practitioner in Manchester, TN
• Providers in Manchester, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.