Carla D Kimbrell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P1063 Issued in TN

Practice address

2815 Azalea PL
Nashville, TN 37204-3117

Phone

(615) 481-4078

Fax

(615) 444-3157

NPI assigned

Jan 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Allison Nutrition Consultants, Inc.

  • Registered Dietitian
  • Nashville, TN
  • NPI 1699066514
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1942355243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128375",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372128375",
            "telephone_number": "615-481-4078",
            "fax_number": "615-444-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 AZALEA PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043117",
            "telephone_number": "615-481-4078",
            "fax_number": "615-444-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "CARLA",
        "middle_name": "D",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Kimball, DO
• Kenya Lana Kimber, LPN
• Lisa Kim Kimberly, LMSW
• Chessica Kimble
• Amanda Kimbrell, M.S., LPC-MHSP
• Holly Hudgens Kimbrell, RN
• Keith Kimbrell, M.D.
• Lauren Kimbrell, CRNP
• Peter Odell Kimbrell, AGACNP-BC
• Pauline Rogers Kimbro-Di Projetto, OT

• Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.