Kimberly Nicole Vann, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19303 Issued in TN

Practice address

2946 Covington Pike
Memphis, TN 38128-6007

Phone

(901) 382-9292

Fax

(901) 384-5696

NPI assigned

Oct 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 15

Addresses

Other identifiers 6

Other names 1

• Kimberly Nicole Stephens Former name

Medicare fee-for-service enrollment

Enrolled in TN, OH, DC, VA, FL, WA, MI7 enrollments

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 7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.vann@620407976427524.direct.elationemr.com

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.

• Firsthand Health of Michigan, P.C.

  • General Practice Physician
  • Allen Park, MI
  • NPI 1184402745
  Medicare reassignment NPD
• Firsthand Health of Ohio

  • General Practice Physician
  • Cleveland, OH
  • NPI 1780348185
  Medicare reassignment NPD
• Firsthand Health of Virginia PC

  • General Practice Physician
  • Richmond, VA
  • NPI 1780489823

  DC

  Medicare reassignment NPD
• Firsthand Health of Washington PC

  • General Practice Physician
  • Tacoma, WA
  • NPI 1649058215
  Medicare reassignment NPD
• Firsthand Health of Florida PA

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1316685605
  Medicare reassignment
• Crossroads Hospice of Tennessee, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Memphis, TN
  • NPI 1750098190
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1699170019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 SHELBY OAKS DR N STE 106",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347441",
            "telephone_number": "901-382-9292",
            "fax_number": "901-384-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381286007",
            "telephone_number": "901-382-9292",
            "fax_number": "901-384-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12540 NE 8th Ave",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331614965",
            "country_code": "US",
            "telephone_number": "786-679-0955",
            "fax_number": "786-664-1025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23077 Greenfield Rd Ste 234",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753722",
            "country_code": "US",
            "telephone_number": "248-914-4604",
            "fax_number": "313-488-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13201 Granger Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441251979",
            "country_code": "US",
            "telephone_number": "216-316-4059",
            "fax_number": "866-401-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 E Colonial Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034726",
            "country_code": "US",
            "telephone_number": "407-419-0794",
            "fax_number": "407-557-4832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1606 Santa Rosa Rd Rm 109",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295001",
            "country_code": "US",
            "telephone_number": "804-461-7008",
            "fax_number": "804-315-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1142 Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023500",
            "country_code": "US",
            "telephone_number": "253-686-3626",
            "fax_number": "253-452-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Executive Park Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312225",
            "country_code": "US",
            "telephone_number": "202-209-2049",
            "fax_number": "703-423-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704426280",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "833204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4046996",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19303",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001336503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038990",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038831",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0038831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61673264",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11038990",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61673264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704426280",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "161088",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4046996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111264",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2325142",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009906",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018204600001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127738700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699170019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STEPHENS",
            "middle_name": "NICOLE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erik Louis Vanfossen, DO
• Vanguard of Memphis, LLC
• Lisa Vanhouwelingen, M.D.
• Miriam Vanmersbergen, SLP
• Beverly Ann Vann, LASW
• Kevin Harold Vantrees, RPA, R.T. (R)(MR)(CT
• Audrey B.R. Vanwylen, M.D.
• Rebecca Vanzant, M.D.
• Stephanie Schultz Vanzant, APRN
• Kaushik Varadarajan, MD

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.