Individual provider Active NPI

Kimberly Norman Nolen, OT

  • Hand Occupational Therapist
  • Bartlett, TN
National Provider Identifier
1871640516
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
220 Issued in TN
Practice address
3045 Kate Bond Rd Ste 200
Bartlett, TN 38133-4004
Phone
(901) 937-3200
Fax
(901) 383-1738
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 220 TN Primary

Addresses

Primary practice location

3045 Kate Bond Rd Ste 200
Bartlett, TN 38133-4004

Mailing address

3045 Kate Bond Rd Ste 200
Bartlett, TN 38133-4004
Phone (901) 937-3200

Other practice location 1

65 B North Star Drive
Jackson, TN 38305
Phone (731) 661-9542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414002648 TN Practitioner - Occupational Therapist in Private Practice 2769564897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Hand CurrentSince Mar 8, 2022 Accepting new patients
MSK Group, PC CurrentSince Mar 8, 2022 Accepting new patients
MSK Group PC Past Accepting new patients
Memphis Hand Center, Inc Hand PastSince Feb 1, 2001 Accepting new patients
Memphis Hand Center Hand Past Accepting new patients

Locations

3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664

3045 Kate Bond Rd
Ste 200
Bartlett, TN 38133
Phone (901) 937-3200

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

Organizations & group practices 5

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1871640516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-937-3200",
            "fax_number": "901-383-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-937-3200",
            "fax_number": "901-383-1738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 B North Star Drive",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38305",
            "country_code": "US",
            "telephone_number": "731-661-9542",
            "fax_number": "731-661-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "KIMBERLY",
        "middle_name": "NORMAN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TN",
            "license": "220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.