Mrs Kimberly Jill Shibayama, PA-C - Physician Assistant in Nashville, TN

Mrs Kimberly Jill Shibayama, PA-C is a Physician Assistant - Surgical based in Nashville, Tennessee. Mrs Kimberly Jill Shibayama is licensed to practice in Tennessee (license number PA1187) and her current practice location is 4230 Harding Rd, Suite 1000, Nashville, Tennessee. She can be reached at her office (for appointments etc.) via phone at (615) 383-2693.

NPI number for Mrs Kimberly Jill Shibayama is 1821088600 and her current mailing address is Po Box 105132, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821088600.

Contact Information

Mrs Kimberly Jill Shibayama, PA-C
4230 Harding Rd, Suite 1000,
Nashville, TN 37205-2013
(615) 383-2693
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberly Jill Shibayama
GenderFemale
SpecialityPhysician Assistant - Surgical
Location4230 Harding Rd, Nashville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821088600
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 01/20/2010

Medical Identifiers

Medical identifiers for Mrs Kimberly Jill Shibayama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821088600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA1187 (Tennessee)Secondary
363AS0400XPhysician Assistant - Surgical PA1187 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Jill Shibayama is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kimberly Jill Shibayama, PA-C
Po Box 105132,
Atlanta, GA 30348-5132

Ph: () -
Mrs Kimberly Jill Shibayama, PA-C
4230 Harding Rd, Suite 1000,
Nashville, TN 37205-2013

Ph: (615) 383-2693

Reviews and Comments


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