Kimberly R Fisher, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4206 Issued in TN

Practice address

221 N Main St
Greeneville, TN 37745-3815

Phone

(423) 787-6050

Fax

(423) 787-6054

NPI assigned

Oct 10, 2006

Last updated

Apr 8, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• East Tennessee Children's Primary Care Center, Inc.

  dba Dolly Parton Children's Hospital Hardin Valley Pediatrics

  • Pediatrics Physician
  • Knoxville, TN
  • NPI 1235640467
  NPD (past)
• Holston Medical Group PC

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1831110667

  Pediatrics

  NPD (past)
• Sweetgrass Pediatrics

  • Pediatrics Physician
  • North Charleston, SC
  • NPI 1437168135
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1689761694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MAIN ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453815",
            "telephone_number": "423-787-6050",
            "fax_number": "423-787-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "4206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q065694",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felix L Fernandez, D.O.
• Shawna Fields, PHARMD
• Andrew Fila
• First Choice Neurosurgery
• Cynthia Kay Bullington Fisher, DPH.
• Susan Flaglor, FNP
• Patricia A Flanary, M.A.
• Christopher Fleming, PAC
• Robert Stephen Flohr, M.D.
• Florida Physicians Medical Group, Inc.

• Pediatrics Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.