Kimberly Dupree Alston, CPM-TN
Individual provider Active NPI Midwife · Germantown, TN
NPI 1992287254 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1992287254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 78 (TN)
- Practice address
- 2123 S Germantown Rd Ste 1
Germantown, TN 38138-3865 - Phone
- (901) 315-0835
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78 | TN | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | 78 | TN | Yes |
Addresses
Primary practice location
2123 S Germantown Rd Ste 1
Germantown, TN 38138-3865
Mailing address
3069 Circle Gate Dr
Germantown, TN 38138-8105
Phone (901) 315-0835
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.