Kimberly Olsen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25661 Issued in TN

Practice address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382

Phone

(865) 584-4747

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly McCulloch Former name

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

Medicare enrollment (NPD)

Enrolled

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.

• Afc Physicians of Tennessee, PC

  • Primary Care Clinic/Center
  • Chattanooga, TN
  • NPI 1114234523

  Single Specialty

  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Single Specialty

  Medicare reassignment NPD
• DX Mso, PLLC

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148

  Single Specialty

  Medicare reassignment NPD
• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298

  Single Specialty

  Medicare reassignment NPD
• Urgent Family Care PLLC

  • Urgent Care Clinic/Center
  • Knoxville, TN
  • NPI 1093139339

  Single Specialty

  Medicare reassignment NPD
• Afc Physicians of Tennessee, PC

  • General Practice Physician
  • Knoxville, TN
  • NPI 1649647249
  NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Family

  NPD
• Summit Medical Group, PLLC

  dba Fountain City Family Physicians

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1194896787
  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1861051914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W MILLERS COVE RD",
            "city": "WALLAND",
            "state": "TN",
            "postal_code": "378862648",
            "telephone_number": "865-363-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091382",
            "telephone_number": "865-584-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCCULLOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Oliver, BCBA, LBA
• Stepfanie Olivio
• G Stephen Ollard
• Andrea Maria Ollhoff, MS, CRC
• Damaris A Olsen, PHD, RN, MSN
• Alaina Olson, OTD, OTR/L
• Amy S Olson, NP
• April Olson, BS
• Cheryl Olson, PTA
• Corey Snyder Olson, LCSW

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.

Verify at the official NPI Registry.