NPIMap

Individual provider Active NPI

Kristina G Boyette, A.P.N.

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1013159383
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6415961 Issued in TN
Practice address
3809 Covington Pike
Memphis, TN 38135-2209
Phone
(901) 386-1625
Fax
(901) 377-8986
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6415961 TN Primary

Addresses

Primary practice location

3809 Covington Pike
Memphis, TN 38135-2209

Mailing address

3809 Covington Pike
Memphis, TN 38135-2209
Phone (901) 386-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000244 TN Practitioner - Nurse Practitioner 2466690730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

2996 Kate Bond Rd
Suite 205
Memphis, TN 38133-4062
Phone (901) 266-4112

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Cordova, TN, CCN 447451
  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6415961TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Eric Blakney Current Accepting new patients
Carr PLLC CurrentSince Aug 11, 2015 Accepting new patients
Methodist Emergency Physicians PLLC Past Accepting new patients
Healthcare Network Tennessee, Inc. PastSince Oct 25, 2020 Accepting new patients
Raleigh Cordova Medical Group, P.C. Past Accepting new patients

Locations

7845 US Highway 64
Ste 100
Bartlett, TN 38133
Phone (901) 625-4778

8025 US Highway 64
Ste 101
Bartlett, TN 38133
Phone (901) 382-2044

2996 Kate Bond Rd
Ste 205
Bartlett, TN 38133
Phone (901) 266-4112

2996 Kate Bond Rd
Ste 203
Bartlett, TN 38133
Phone (901) 300-2970

7845 US Highway 64
#100
Bartlett, TN 38133

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Interoperability endpoints

  • Direct secure messaging: kristina.boyette.1@16700.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1013159383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381352209",
            "telephone_number": "901-386-1625",
            "fax_number": "901-377-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381352209",
            "telephone_number": "901-386-1625",
            "fax_number": "901-377-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYETTE",
        "first_name": "KRISTINA",
        "middle_name": "G",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6415961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.