Active NPI
Kim McCartt
- Nurse Practitioner
- Cookeville, TN
National Provider Identifier
1053269274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 42586
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 216647 | TN | MD | Family 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.