Individual provider Active NPI

Kimberly Sellers Kirk, APRN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1952077075
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29938 Issued in TN
Practice address
1318 Laredo Ave
Chattanooga, TN 37412-1514
Phone
(423) 838-0159
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 29938 TN Primary

Addresses

Primary practice location

1318 Laredo Ave
Chattanooga, TN 37412-1514

Mailing address

1318 Laredo Ave
Chattanooga, TN 37412-1514
Phone (423) 838-0159

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kimberly.kirk@hcahealthcare.com Direct

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
I20220105000464 TN Practitioner - Nurse Practitioner 9739570573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians

Practice addresses (Care Compare)

1000 TN-28
Tristar Parkridge West Hospital
Jasper, TN 37347-3638
Phone (423) 837-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29938TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Front Door Primary Care PLLC Current Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince May 28, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: kimberly.kirk@hcahealthcare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1952077075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 LAREDO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121514",
            "telephone_number": "423-838-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 LAREDO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374121514",
            "telephone_number": "423-838-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KIMBERLY",
        "middle_name": "SELLERS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kimberly.kirk@hcahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Will update",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1318 Laredo Ave",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374121514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.