KIMBERLY S BACON NP
NPI 1215207451
Nurse Practitioner - Family in Johnson City, TN
NPI Status: Active since January 05, 2012
Contact Information
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-1810
Fax: (423) 431-1811
- Individual
- Female
- Nurse Practitioner
- Family
About KIMBERLY BACON
This page provides the complete NPI Profile along with additional information for Kimberly Bacon, a provider established in Johnson City, Tennessee with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1215207451 assigned on January 2012. The practitioner's primary taxonomy code is 363LF0000X with license number 15209 (TN). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1215207451
- Provider Name
- KIMBERLY S BACON NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-1810
- Location Fax
- (423) 431-1811
- Mailing Address
- 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 431-1810
- Mailing Fax
- (423) 431-1811
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-05-2012
- Last Update Date
- 01-26-2017
- Code Navigator
A nurse practitioner (NP) like Kimberly Bacon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 15209
- License State
- TN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01200424 | OTHER (01) | TN | RAILROAD MEDICARE PIN |
| 7100195690 | MEDICAID (05) | KY | |
| 1215207451 | MEDICAID (05) | NC | |
| 103I506419 | MEDICARE PIN (08) | TN | |
| 7100195690 | MEDICAID (05) | VA | |
| 1527812 | MEDICAID (05) | TN |
Reviews for KIMBERLY S BACON NP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 2 | 0 | 7 | 4 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 4 | 0 | 14 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 4 + 0 + 1 + 4 + 4 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1215207451 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093715203 | DR. ANDREW S PIERCE MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1770549453 | STEVEN C HAMEL MD Individual | Neurological Surgery | 408 N STATE OF FRANKLIN RD SUITE 42 JOHNSON CITY, TN 37604 (423) 975-2350 |
| 1073555934 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Neurological Surgery | 408 N STATE OF FRANKLIN RD SUITE 42 JOHNSON CITY, TN 37604 (423) 431-2350 |
| 1235244708 | CENTER FOR APPLIED REPRODUCTIVE SCIENCE Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 408 N STATE OF FRANKLIN RD SUITE # 31 JOHNSON CITY, TN 37604 (423) 461-8880 |
| 1831296813 | TODD HORTON MD Individual | Orthopaedic Surgery (Hand Surgery) | 408 N STATE OF FRANKLIN RD SUITE 31 JOHNSON CITY, TN 37604 (423) 431-2477 |
| 1972647287 | MRS. SHANNON M WIEDERHOLT RD,LDN,CDE Individual | Dietitian, Registered | 408 N STATE OF FRANKLIN RD SUITE#31 JOHNSON CITY, TN 37604 (423) 461-8880 |
| 1962700237 | MS. BRITTANY MOODY REECE NP Individual | Nurse Practitioner (Family) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1609213800 | ASHLEY D PIERSON PA-C Individual | Physician Assistant | 408 N STATE OF FRANKLIN RD SUITE 31 JOHNSON CITY, TN 37604 (423) 431-2477 |
| 1447324603 | DR. MOUNA ABOUAMARA MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1255769501 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Physician Assistant | 408 N STATE OF FRANKLIN RD SUITE 31 JOHNSON CITY, TN 37604 (423) 431-2477 |
| 1245215847 | DR. DON E ADAMS III MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1043211204 | DR. PAULA RENEE SMITH M.D. Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1316357593 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 A JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1710981105 | THOMAS R. BORTHWICK M.D. Individual | Internal Medicine (Gastroenterology) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1275571275 | ANJALI MALKANI M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 408 N STATE OF FRANKLIN RD SUITE 31 E JOHNSON CITY, TN 37604 (423) 431-4946 |
| 1093081978 | MRS. AMIE JARRETT BRIGGS FNP-BC Individual | Nurse Practitioner | 408 N STATE OF FRANKLIN RD SUITE 31C JOHNSON CITY, TN 37604 (423) 431-4946 |
| 1689626343 | NEIL W KOOY M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 408 N STATE OF FRANKLIN RD SUITE 31D JOHNSON CITY, TN 37604 (423) 431-4946 |
| 1992738702 | ELISA J LAFOUNTAIN DO Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1851585996 | DR. SHWETA KHARALKAR MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 A JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1053567826 | MR. LARRY MICHAEL STEVENS II APN Individual | Nurse Practitioner (Adult Health) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215207451, enumerated in the NPI registry as an "individual" on January 05, 2012
The provider is located at 408 N State Of Franklin Rd Suite 24 Johnson City, Tn 37604 and the phone number is (423) 431-1810
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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