Kimberly Dawn Williams, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

35929 Issued in TN

Practice address

380 Clifton Heights Rd
Newport, TN 37821-2535

Phone

(423) 608-0605

NPI assigned

Apr 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Dawn Driskill 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Surgical Wound Center PLLCGroup PAC ID 1254778095, 7 clinicians

Medadvance PLLCGroup PAC ID 5698291078, 6 clinicians

Practice addresses (Care Compare)

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.

• Advanced Surgical Wound Center PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1225800410
  Medicare reassignment Care Compare group NPD
• Medadvance PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1104634377

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1871175273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CLIFTON HEIGHTS RD",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212535",
            "telephone_number": "423-608-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CLIFTON HEIGHTS RD",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212535",
            "telephone_number": "423-608-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 Highland Place Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194068",
            "country_code": "US",
            "telephone_number": "865-470-6121",
            "fax_number": "865-549-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "161234",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "35929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DRISKILL",
            "middle_name": "DAWN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Micah L Westmorland, D.D.S.
• Thomas Whitmer
• Katie Wick, NP-C
• Megan Wilds, LPN
• James R Williams, MD
• Michael D Williams, MSN- CRNA
• Tonya E Williams, FNP
• Whitney Monique Williams, BSSW
• Naomi Ramsey Williamson, BA
• Tamra Williamson

• Nurse Practitioner in Newport, TN
• Providers in Newport, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.