TANNER C. KIMBLE CST/CSFA – NPI #1043988116
Specialist/Technologist, Other

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

TANNER KIMBLE is a technologist located in VICKSBURG, MS. NPPES has assigned the NPI number 1043988116 to TANNER KIMBLE on September 02, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZC0007X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Surgical Assistant

The NPI profile was previously updated about 4 years ago on Feb 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TANNER KIMBLE below.

NPI Profile for
TANNER C. KIMBLE

NPI Number
1043988116
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TANNER C. KIMBLE
Credentials
CST/CSFA
Primary location
2100 HIGHWAY 61 N
VICKSBURG, MS 39183-8211
Phone: (601) 883-5000 Fax:
Mailing address
406 LACASA LOOP
TWIN FALLS, ID 83301-5663
Phone: (208) 410-0569 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Feb 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TANNER KIMBLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTHE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING188016
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZC0007X
- Specialist/Technologist, Other / Surgical Assistant (Primary)
188016

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.