=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568303998
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KIMBERLY ASHLEY FIELDING
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2026
-----------------------------------------------------
Last Update Date | 04/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3845 KNIGHT DR
-----------------------------------------------------
City | WHITES CREEK
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37189-9231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-626-9639
-----------------------------------------------------
Fax | 423-219-9361
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3845 KNIGHT DR
-----------------------------------------------------
City | WHITES CREEK
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37189-9231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-626-9639
-----------------------------------------------------
Fax | 423-219-9361
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2471S1302X
-----------------------------------------------------
Taxonomy Name | Sonography Radiologic Technologist
-----------------------------------------------------
License Number | NA
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------