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

Kimberly M Randolph, APN

Individual provider Nurse Practitioner · NPI 1144544982

Kimberly M Randolph, APN is a Nurse Practitioner in Germantown, Tennessee. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
31
Licensed in
TN
In the registry since
2010
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

3180 Professional Plz Ste 111
Germantown, TN 38138-1534
Phone: (901) 854-5455
Fax: (901) 861-7736
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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 7234 (TN)

Record details

NPI number1144544982
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedMarch 23, 2010
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address3180 Professional Plz, Ste 111, Germantown, TN 38138-1534

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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