Kristal Hillie, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19105 Issued in TN

Practice address

1520 Union Ave
Memphis, TN 38174-0275

Phone

(901) 276-2410

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kristal.hillie@206946879668228.direct.elationemr.com

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.

• Olive Branch Family Medical Center

  • Family Medicine Physician
  • Olive Branch, MS
  • NPI 1629018478
  Medicare reassignment NPD
• Tunica County Healthcare Authority

  • Rural Health Clinic/Center
  • Tunica, MS
  • NPI 1245360148
  Medicare reassignment NPD
• Inspire Health and Wellness LLC

  • Primary Care Clinic/Center
  • Southaven, MS
  • NPI 1407541915
  NPD Authorized official
• Tunica County Healthcare Authority

  • Rural Health Clinic/Center
  • Tunica Resorts, MS
  • NPI 1629164512
  NPD
• Tunica County Healthcare Authority

  • Clinic/Center
  • Tunica, MS
  • NPI 1811618887
  NPD

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1053720342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 TANYA WAY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727214",
            "telephone_number": "901-218-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381740275",
            "telephone_number": "901-276-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9075 Sandidge Center Cv",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386543514",
            "country_code": "US",
            "telephone_number": "662-895-4949",
            "fax_number": "662-895-6776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Wolf River Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLIE",
        "first_name": "KRISTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R876849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Hill, LC
• Tony A Hill
• Susan Annette Hillebert, M.D.
• Grant Connor Hilliard, MD
• Warren Hilliard
• Mohamud Hilowle
• Lataysha Q Hilson, BSW
• Tiffany Laverne Hilson, BSW
• Fnu Himanshu, M.D.
• Laura Claire Kebert Himel, MD, MBA

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.

Verify at the official NPI Registry.