Individual provider Active NPI

Kimberly Joan Hawkins, N.P.

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1902997927
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6649 Issued in TN
Practice address
2994 Camp Creek Rd
Greeneville, TN 37743-6064
Phone
(423) 787-0680
Fax
(423) 787-7720
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6649 TN Primary

Addresses

Primary practice location

2994 Camp Creek Rd
Greeneville, TN 37743-6064

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 787-0680

Other practice location 1

580 Van Hill Rd
Greeneville, TN 37745-7608
Phone (423) 470-3642

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121127000667 TN Practitioner - Nurse Practitioner 0840441721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kimberly.hawkins.1@9170.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1902997927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-787-0680",
            "fax_number": "423-787-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2994 CAMP CREEK RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377436064",
            "telephone_number": "423-787-0680",
            "fax_number": "423-787-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Van Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377457608",
            "country_code": "US",
            "telephone_number": "423-470-3642",
            "fax_number": "423-921-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KIMBERLY",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.