Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly C Nichols, NP

Individual provider Nurse Practitioner · NPI 1619251626

Kimberly C Nichols, NP is a Nurse Practitioner in Bristol, Tennessee. Qualified in 2011, 15 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
15
Licensed in
TN, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-5583
Fax: (423) 844-5588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024169691 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 16361 (TN)

Record details

NPI number1619251626
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 10, 2011
Last updated in NPPESJanuary 10, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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