Active NPI
Kimberly Michelle Musicante, OT
- Health Educator
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 0863
- Practice address
- 8426 Springer Dr
Cordova, TN 38018-6823 - Phone
- (901) 825-7788
- Fax
- (901) 624-8715
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 0863 | TN | Primary |
Addresses
Primary practice location
8426 Springer Dr
Cordova, TN 38018-6823
Mailing address
8426 Springer Dr
Cordova, TN 38018-6823
Phone (901) 825-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6605 N Quail Hollow Rd
Memphis, TN 38120-1323
Phone (901) 613-4064
960 S Charles G Seivers Blvd
Clinton, TN 37716-3882
Phone (865) 270-3178
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0863 | TN | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current | Accepting new patients |
Locations
3345 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 245-4395
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1972988897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8426 SPRINGER DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186823",
"telephone_number": "901-825-7788",
"fax_number": "901-624-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8426 SPRINGER DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186823",
"telephone_number": "901-825-7788",
"fax_number": "901-624-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICANTE",
"first_name": "KIMBERLY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "TN",
"license": "0863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.