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MS. KIMBERLY B. HOLDEN CRNA
NPI 1902864929
Nurse Anesthetist, Certified Registered in Memphis, TN

Active since May 01, 2006
262 DANNY THOMAS PL, MEMPHIS, TN 38105(888) 226-4343 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Kimberly B. Holden Crna NPPES

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

MS. KIMBERLY B. HOLDEN CRNA (NPI 1902864929) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (10875) and active in the NPI registry since May 2006. She maintains a secondary practice location in Southaven.

NPPES Registry Identity

NPI1902864929
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. KIMBERLY B. HOLDENCredential: CRNA
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address262 Danny Thomas Pl # Ms 515Memphis, TN 38105-3678
Phone(888) 226-4343
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1902864929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TN · 10875✔ Licensed in MS · A810174
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
262 DANNY THOMAS PL, Memphis, TN 38105
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Secondary Practice Location 1

Location 1401 Southcrest Cir, #200Southaven, MS 38671-6726 · Phone (662) 349-2659 · Fax (662) 349-2577

Other Identifiers 1

Medicaid3628276TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly B. Holden Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Holden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Jude Children's Research Hospital, Inc.
0.1 mi
Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 clinicians in this Medicare group
NPI 1306335088 (901) 595-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MISS JENNIFER ELAINE ROEMER CPNP-AC
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
MR. ALBERTO S. PAPPO M.D.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-6765
MS. HEATHER MARIE CONKLIN PHD
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
ALYSSA COTTON
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
ARMITA BAHRAMI MD
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
DR. SEAN PHIPPS PH.D.
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
WENDY BOURLAND D.O.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Shelby County (901) 595-3300
JAMES MICHAEL BURGESS DNP, MBA, RN
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Holden's NPI number?

The NPI number for Kimberly Holden is 1902864929. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Kimberly Holden located?

Kimberly Holden practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (888) 226-4343.

What is Kimberly Holden's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kimberly Holden enrolled in Medicare?

Yes. Kimberly Holden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Holden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Holden reassigns Medicare benefits to St Jude Children's Research Hospital, Inc. (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Holden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Holden was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.