Active NPI
Kimberley Hunt, MD
- Pediatrics Physician
- Kingsport, TN
National Provider Identifier
1790788412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD 30663
- Practice address
- 105 W Stone Dr
Ste 2a
Kingsport, TN 37660-3256 - Phone
- (423) 224-3375
- Fax
- (423) 378-5940
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 30663 | TN | Primary |
Addresses
Primary practice location
105 W Stone Dr
Ste 2a
Kingsport, TN 37660-3256
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6727701 | Medicaid | VA | |
| 3826313 | Medicaid | TN |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Pediatrics | Current | Accepting new patients |
Locations
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900
105 W Stone Dr
Ste 2A
Kingsport, TN 37660
Phone (423) 224-3375
Interoperability endpoints
- kimhunt@hmgpath.allscriptsdirect.net
Organizations & group practices 1
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": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1790788412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2066",
"fax_number": "423-857-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "STE 2A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603256",
"telephone_number": "423-224-3375",
"fax_number": "423-378-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "KIMBERLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD 30663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6727701",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3826313",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.