Kimberly Renee Daniel, FNP-C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36598 Issued in TN

Practice address

2301 N Ocoee St Ste a
Cleveland, TN 37311-3869

Phone

(423) 322-6399

Fax

(423) 339-9950

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifecircle Womens Health Care PCGroup PAC ID 9931167707, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifecircle Womens Health Care PC

  • Obstetrics Physician
  • Cleveland, TN
  • NPI 1316029663
  Medicare reassignment Care Compare group NPD
• Lifecircle Womens Health Care PC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1790423457
  NPD
• Anesthesia Alliance Solutions

  • Certified Registered Nurse Anesthetist
  • Cleveland, TN
  • NPI 1598158859
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  Care Compare affiliation

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1821826728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113869",
            "telephone_number": "423-322-6399",
            "fax_number": "423-339-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113869",
            "telephone_number": "423-322-6399",
            "fax_number": "423-339-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "36598",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "36598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Nadine Czerkasij, OTR/L
• Cassie Lee Dahlin, PA-C
• Aubrey Daigle
• Nalini K Damshala, MD
• Brianna Daniel
• Kevin Maurice Dansby, PA
• Joanna S Dau
• Elizabeth Daubner, MD
• Michael Alan Daubner, M.D.
• Carter Davenport

• Obstetrics & Gynecology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.