Individual provider Active NPI

Kimberly D Patterson

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1952972606
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29794 Issued in TN
Practice address
5652 Clarke CV
Memphis, TN 38115-3502
Phone
(901) 729-9243
NPI assigned
Jul 4, 2021
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 879194 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29794 TN Primary

Addresses

Primary practice location

5652 Clarke CV
Memphis, TN 38115-3502

Mailing address

5652 Clarke CV
Memphis, TN 38115-3502
Phone (901) 585-3046

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL mesnursing@yahoo.com Direct
CONNECT URL peaceful.psychiatry@mail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250523000182 CO Practitioner - Nurse Practitioner 8820495930 Reassigns benefits to 1 organization
I20250530002768 MN Practitioner - Nurse Practitioner 8820495930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11088MNMDPhysical Therapist
879194NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Piece of Peace Psychiatry, PLLC CurrentSince Jul 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kimberly.patterson.1@27998.direct.athenahealth.com
  • Direct secure messaging: kimberly.patterson.p1@direct.tristatechc.nextgenshare.com

Organizations & group practices 2

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": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1952972606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5652 CLARKE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153502",
            "telephone_number": "901-585-3046",
            "fax_number": "901-589-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 CLARKE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153502",
            "telephone_number": "901-729-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "879194",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mesnursing@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5652 Clarke Cv",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381153502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peaceful.psychiatry@mail.com",
            "affiliation": "N",
            "address_1": "5652 Clarke Cv",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381153502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.