Individual provider Active NPI

Crystal Kirby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1003564725
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000031311 Issued in TN
Practice address
5651 Frist Blvd Ste 717
Hermitage, TN 37076-2061
Phone
(615) 457-8585
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000031311 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 717
Hermitage, TN 37076-2061

Mailing address

5651 Frist Blvd Ste 717
Hermitage, TN 37076-2061

Other practice location 1

1009 N Thompson Ln
Murfreesboro, TN 37129-4351
Phone (615) 716-1824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721001994 TN Practitioner - Nurse Practitioner 6901287945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scout Holdings LLCGroup PAC ID 7113340159, 7 clinicians

Practice addresses (Care Compare)

805 S Church St
Suite 19
Murfreesboro, TN 37130-5296
Phone (615) 994-1468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31311TNMDPediatrics Physician
APN0000031311TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Brain Institute CurrentSince Apr 15, 2022 Accepting new patients
Trustpoint Hospital LLC CurrentSince Jul 1, 2022 Accepting new patients
Scout Holdings, LLC CurrentSince Jan 15, 2023 Accepting new patients
Trustpoint Hospital LLC Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients

Locations

7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499

5651 Frist Blvd
Ste 717
Hermitage, TN 37076
Phone (615) 316-9511

2626 Merchants Walk
Murfreesboro, TN 37128
Phone (615) 225-8903

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

805 S Church St
Ste 19
Murfreesboro, TN 37130
Phone (615) 994-1468

2000 Glen Echo Rd
Ste 101
Nashville, TN 37215
Phone (615) 260-1949

2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1003564725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 717",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 717",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762061",
            "telephone_number": "615-457-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Thompson Ln",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371294351",
            "country_code": "US",
            "telephone_number": "615-716-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "CRYSTAL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000031311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.