Active NPI
Kristy Renee Houghton, FNP
- Family Nurse Practitioner
- Bluff City, TN
National Provider Identifier
1023485190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18887
- Practice address
- 229 Highway 19 E
Bluff City, TN 37618-1865 - Phone
- (423) 538-5116
- Fax
- (423) 538-3861
- NPI assigned
- Aug 25, 2015
- Last updated
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178048 | VA | |
| Family Nurse Practitioner | 363LF0000X | 18887 | TN | Primary |
Addresses
Primary practice location
229 Highway 19 E
Bluff City, TN 37618-1865
Mailing address
PO Box 850
Rogersville, TN 37857-0850
Phone (423) 538-5116
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Pac Healthcare Services of Tennessee PC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients |
Locations
880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1023485190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378570850",
"telephone_number": "423-538-5116",
"fax_number": "423-538-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 HIGHWAY 19 E",
"city": "BLUFF CITY",
"state": "TN",
"postal_code": "376181865",
"telephone_number": "423-538-5116",
"fax_number": "423-538-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGHTON",
"first_name": "KRISTY",
"middle_name": "RENEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178048",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluff City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.