Individual provider Active NPI

Kimberly Leigh German, FNP

  • Family Nurse Practitioner
  • Marion, AR
National Provider Identifier
1972825545
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14015 Issued in TN
Practice address
1120 State Highway 77 Ste 1
Marion, AR 72364-9046
Phone
(870) 733-1177
Fax
(870) 702-6128
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14015 TN Primary
Family Nurse Practitioner 363LF0000X ATP 236 AR
Registered Nurse 163W00000X R870228 MS

Addresses

Primary practice location

1120 State Highway 77 Ste 1
Marion, AR 72364-9046

Mailing address

PO Box 55
Marion, AR 72364-0055
Phone (870) 733-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210310000707 AR Practitioner - Nurse Practitioner 1153561014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R870228MSMDRegistered Nurse
ATP 236ARMDFamily Nurse Practitioner
14015TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hashmi Medical Associates CurrentSince May 16, 2022 Accepting new patients

Locations

710 N Missouri St
West Memphis, AR 72301
Phone (870) 394-9149

Organizations & group practices 1

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1972825545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723640055",
            "telephone_number": "870-733-1177",
            "fax_number": "870-702-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE HIGHWAY 77 STE 1",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649046",
            "telephone_number": "870-733-1177",
            "fax_number": "870-702-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "KIMBERLY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14015",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP 236",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R870228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.