Individual provider Active NPI

Kimberly Fowler Huffman, RN, MSN, APRN

  • Pediatric Nurse Practitioner
  • Lewisburg, TN
National Provider Identifier
1992973101
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000013226 Issued in TN
Practice address
1090 N Ellington Pkwy Ste 201
Lewisburg, TN 37091-2227
Phone
(931) 270-3655
Fax
(931) 270-3656
NPI assigned
Feb 11, 2008
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000013226 TN Primary

Addresses

Primary practice location

1090 N Ellington Pkwy Ste 201
Lewisburg, TN 37091-2227

Mailing address

1090 N Ellington Pkwy Ste 201
Lewisburg, TN 37091-2227
Phone (931) 270-3655

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
I20180810001333 TN Practitioner - Nurse Practitioner 2860670163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Maury Regional HospitalGroup PAC ID 4688569718, 31 clinicians

Practice addresses (Care Compare)

1080 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-6241

1090 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone (931) 359-0019

617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN0000013226TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Current Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jul 21, 2020 Accepting new patients
Champion Medical Care LLC CurrentSince Mar 1, 2026 Accepting new patients
Maury Regional Hospital CurrentSince Sep 7, 2021 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jul 21, 2020 Accepting new patients
Maury Regional Hospital CurrentSince Sep 7, 2021 Accepting new patients

Locations

1707 Grove St
Columbia, TN 38401
Phone (931) 381-4932

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

1090 N Ellington Pkwy
Ste 102
Lewisburg, TN 37091
Phone (931) 359-0019

1090 N Ellington Pkwy
Ste 201
Lewisburg, TN 37091
Phone (931) 270-1278

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

1114 N Main St
Ste A
Shelbyville, TN 37160
Phone (931) 652-9369

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1992973101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N ELLINGTON PKWY STE 201",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "931-270-3655",
            "fax_number": "931-270-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N ELLINGTON PKWY STE 201",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912227",
            "telephone_number": "931-270-3655",
            "fax_number": "931-270-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "KIMBERLY",
        "middle_name": "FOWLER",
        "credential": "RN, MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000013226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.