Individual provider Active NPI

Kim McCartt

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1053269274
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
42586 Issued in TN
Practice address
100 W 4TH St Ste 250
Cookeville, TN 38501-2492
Phone
(931) 528-5373
Fax
(931) 526-3457
NPI assigned
Mar 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216647 TN
Nurse Practitioner 363L00000X 42586 TN Primary

Addresses

Primary practice location

100 W 4TH St Ste 250
Cookeville, TN 38501-2492

Mailing address

6701 Baum Dr Ste 140
Knoxville, TN 37919-7361
Phone (865) 584-5727

Other practice location 1

5002 Crossings Cir Ste 180
MT Juliet, TN 37122-8497
Phone (615) 583-5151

Other practice location 2

153 Vo Tech Dr
McMinnville, TN 37110-1322
Phone (931) 474-7000

Other practice location 3

60 Crossville Medical Dr Ste 104
Crossville, TN 38555-4935
Phone (931) 456-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
216647TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1774051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1053269274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR STE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197361",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST STE 250",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012492",
            "telephone_number": "931-528-5373",
            "fax_number": "931-526-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 Crossings Cir Ste 180",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371228497",
            "country_code": "US",
            "telephone_number": "615-583-5151",
            "fax_number": "615-583-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 Vo Tech Dr",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371101322",
            "country_code": "US",
            "telephone_number": "931-474-7000",
            "fax_number": "931-474-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Crossville Medical Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554935",
            "country_code": "US",
            "telephone_number": "931-456-2990",
            "fax_number": "931-456-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTT",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-21",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "216647",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "42586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.