Doctor profile · Federal record
Dr. Kimberly Bacon, NP
Family Nurse Practitioner · Johnson City, TN
- NPI 1215207451
- 14 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
408 N State of Franklin RD, Suite 24
Johnson City, TN 376046089
(423) 431-1810
fax (423) 431-1811
Credentials & registration
- NPI registered
- January 2012 — 14 yrs on file
- Profile last updated
- January 26, 2017
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Tennessee #15209
- Medicaid (4)
- NC #1215207451 · TN #1527812 · VA #7100195690 · KY #7100195690
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215207451. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ironwood Pharmaceuticals, INC | 1 | $17.70 |
By nature of payment
Frequently asked questions
What is Dr. Kimberly Bacon's medical specialty?
Dr. Kimberly Bacon practices Family Nurse Practitioner in Johnson City, TN.
Where does Dr. Kimberly Bacon practice?
Dr. Kimberly Bacon practices at 408 N State of Franklin RD, Johnson City, TN 376046089. Office phone: 4234311810.
What is Dr. Kimberly Bacon's NPI?
Dr. Kimberly Bacon's National Provider Identifier (NPI) is 1215207451, issued by NPPES.