Kristen Erica Hunkin, PHD, PMHNP-BC, FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fort Campbell, KY
NPI 1053807131 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1053807131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN273077 (GA)
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223 - Phone
- (270) 798-8727
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, KY, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190220002098 | TN | Practitioner - Nurse Practitioner | 0143568972 | Practice locations: Clarksville, TN |
| I20190807003871 | KY | Practitioner - Nurse Practitioner | 0143568972 | Reassigns benefits to 1 organization |
| I20220302002000 | GA | Practitioner - Nurse Practitioner | 0143568972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82220 | HI | MD | Registered Nurse |
| 3012842 | KY | MD | Family Nurse Practitioner |
| RN273077 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Physician Practice LLC | Current |
Accepting new patients | |
| Logan Physician Practice, LLC | Current |
Accepting new patients | |
| Personal Recovery Network LLC | Current |
Accepting new patients |
Locations
4849 Paulsen St
Ste 209
Savannah, GA 31405
Phone (912) 600-8800
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
128 Sugar Maple Dr
Auburn, KY 42206
Phone (270) 344-5157
975 Hopkinsville Rd
Russellville, KY 42276
Phone (270) 725-8350
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- kristen.hunkin.1@9357.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN273077 | GA | |
| Registered Nurse | 163W00000X | 82220 | HI | |
| Family Nurse Practitioner | 363LF0000X | RN273077 | GA | |
| Family Nurse Practitioner | 363LF0000X | 3012842 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN273077 | GA | Yes |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223
Mailing address
4615 Harmony Grove Rd
Hopkinsville, KY 42240-8537
Phone (919) 539-1096
Other practice location 1
4849 Paulsen St Ste 209
Savannah, GA 31405-4425
Phone (912) 600-8800
Other providers in Fort Campbell, KY
- Russell Allen Huffman
- Harold Kent Hughes
- David Hulsizer
- Quentin A Humberd
- Pamela M Humes
- Ashley Buttery Hunt
- Jennifer Lynn Hunt
- Marcus James Hunt
- Paul Hunt
- Lora Rose Hunter
All providers in Fort Campbell, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.