MRS. KIMBERLY ANNE QUIRING PA NPI 1689675522

NPI Information

NPI: 1689675522
Provider Name: MRS. KIMBERLY ANNE QUIRING, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTHEASTERN PHYSICIAN SERVICES PC

PECOS Registration: Yes

Address:
410 N STATE OF FRANKLIN RD
SUITE 120
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-2350
Get Directions

MRS. Kimberly Anne Quiring, PA is a medical physician assistant in Johnson City, TN with 21 years of experience. MRS. Kimberly Anne Quiring, PA NPI is 1689675522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 N STATE OF FRANKLIN RD
SUITE 120
JOHNSON CITY, TN
ZIP 37604-971
Phone: (423) 431-2350
Fax: (423) 431-2372

The NPI 1689675522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 2/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1353	TENNESSEE	Yes
2	363AM0700X	Physician Assistant	Medical	50002075	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103I975212	MEDICARE PIN	TENNESSEE
2	36644491	MEDICARE PIN	TENNESSEE
3	77621	MEDICARE PIN	OHIO
4	1508224	MEDICAID	TENNESSEE
5	6008008	OTHER	TENNESSEE	BCBS TN
6	Q04972	MEDICARE UPIN	TENNESSEE
7	1689675522	MEDICAID	VIRGIN ISLANDS
8	4155804	OTHER	TENNESSEE	BLUE CROSS
9	04972	MEDICARE UPIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »