Individual provider Active NPI

Kimberly Nicole Cooper, FNP-BC

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1710671581
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34033 Issued in TN
Practice address
201 Dyer St
Columbia, TN 38401-4553
Phone
(931) 446-0687
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 34033 TN Primary

Addresses

Primary practice location

201 Dyer St
Columbia, TN 38401-4553

Mailing address

201 Dyer St
Columbia, TN 38401-4553
Phone (931) 698-6315

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240131003227 TN Practitioner - Nurse Practitioner 8426401985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NP Health of TN PLLCGroup PAC ID 5395159883, 41 clinicians

Practice addresses (Care Compare)

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189
Phone (312) 278-7075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 4, 2023 Accepting new patients
NPK Wellness & Beauty LLC CurrentSince Mar 11, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 4, 2023 Accepting new patients
NP Health of TN PLLC CurrentSince Dec 1, 2025 Accepting new patients
Integrated Wound Care Tennessee PLLC CurrentSince Oct 26, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

201 Dyer St
Columbia, TN 38401
Phone (931) 446-0687

3051 Buffalo Rd
Lawrenceburg, TN 38464
Phone (931) 762-7518

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

1401 N Main St
Shelbyville, TN 37160
Phone (931) 488-8895

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1710671581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DYER ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014553",
            "telephone_number": "931-698-6315",
            "fax_number": "931-208-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DYER ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014553",
            "telephone_number": "931-446-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.