Kim D Taber

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN0000111268 Issued in TN

Practice address

1233 Southwest Ave
Johnson City, TN 37604-6596

Phone

(423) 979-3200

Fax

(423) 979-3268

NPI assigned

Jun 7, 2010

Last updated

Jun 7, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1740500305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SOUTHWEST AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046596",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SOUTHWEST AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046596",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABER",
        "first_name": "KIM",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000111268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Swift, RN
• Julia Shawn Swink, LMSW
• Ted Ford Sykes, MD
• Justin Alan Sylvester, PTA
• Victoria Szesnat
• Tailored Wellness LLC
• Talkback ABA LLC
• Talkback, Inc.
• Haylee Tallent
• Jill R Talley-Horne, M.D.

• Community Health Registered Nurse in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.