KIMBERLY LYNN MASENGILL FNP-BC, CNM - NPI 1144580820 - Nurse Practitioner in Waverly, TN

Q: What is Kimberly Masengill's NPI number?

The NPI number for Kimberly Masengill is 1144580820. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Q: What is Kimberly Masengill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Kimberly Lynn Masengill Fnp-bc, Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LYNN MASENGILL FNP-BC, CNM (NPI 1144580820) is an individual family provider in Waverly, Tennessee, licensed in Tennessee (15969) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1144580820

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY LYNN MASENGILLCredential: FNP-BC, CNM

Location Address301 W MAIN STWaverly, TN 37185-1512

Mailing Address301 W Main StWaverly, TN 37185-1512 · (615) 299-7378 · Fax (615) 299-7399

Phone(615) 299-7378

Fax(615) 299-7399

Sole ProprietorNo

Enumeration DateMay 29, 2012

Last NPPES UpdateOctober 21, 2015

✔ NPI 1144580820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 15969

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 15969 (TN)

301 W MAIN ST, Waverly, TN 37185

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Other Identifiers 1

Medicare PIN10350I8797TN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAST PACE MEDICAL CLINIC PLLC

Clinic/Center (Urgent Care)