Active NPI
Kimberly Baker, RN
- Registered Nurse
- Clinton, TN
National Provider Identifier
1831964816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 268844
- Practice address
- 710 N Main St
Clinton, TN 37716-3143 - Phone
- (865) 425-8800
- Fax
- (865) 457-4252
- NPI assigned
- Nov 20, 2023
- Last updated
- Nov 20, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 268844 | TN | Primary |
Addresses
Primary practice location
710 N Main St
Clinton, TN 37716-3143
Mailing address
710 N Main St
Clinton, TN 37716-3143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268844 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Past | Accepting new patients | |
| State of Tennessee | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Robertson County Health Department
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
-
dba Anderson County Health Department
- State or Local Public Health Clinic/Center
- Clinton, TN
- NPI 1427102177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1831964816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N MAIN ST",
"city": "CLINTON",
"state": "TN",
"postal_code": "377163143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N MAIN ST",
"city": "CLINTON",
"state": "TN",
"postal_code": "377163143",
"telephone_number": "865-425-8800",
"fax_number": "865-457-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "268844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.