Individual provider Active NPI

Christy Kinsey

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1083083380
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
140292 Issued in TN
Practice address
6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone
(423) 899-0431
Fax
(423) 499-9552
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 140292 TN Primary

Addresses

Primary practice location

6734 Lee Hwy
Chattanooga, TN 37421-2423

Mailing address

6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 899-0431

Other practice location 1

163 Walnut Grove Church Rd Ste 100
Dayton, TN 37321-6104
Phone (423) 899-0431

Other practice location 2

1506 N Thornton Ave Ste C
Dalton, GA 30720-8515
Phone (423) 899-0431

Other practice location 3

325 Market St Ste 100
Chattanooga, TN 37402-1226
Phone (423) 899-0431

Other practice location 4

24 Mountain View Dr
Kimball, TN 37347-5477
Phone (423) 899-0431

Other practice location 5

1005 Executive Dr Ste 101
Hixson, TN 37343-7904
Phone (423) 899-0431

Other practice location 6

3760 Ocoee Pl NW Ste 100
Cleveland, TN 37312-5637
Phone (423) 899-0431

Other practice location 7

4630 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 899-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160201000080 TN Practitioner - Nurse Practitioner 1153625843 Reassigns benefits to 1 organization
I20220512000677 GA Practitioner - Nurse Practitioner 1153625843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Allergy Clinic , PLLCGroup PAC ID 6507879962, 19 clinicians

Practice addresses (Care Compare)

1005 Executive Dr
Suite 101
Hixson, TN 37343-7904
Phone (423) 899-0431

325 Market St
Suite 100
Chattanooga, TN 37402-1226
Phone (423) 899-0431

3760 Ocoee PL NW
Suite 100
Cleveland, TN 37312-5637
Phone (423) 899-0431

4630 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 899-0431

6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 899-0431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
140292TNMDNurse Practitioner
NCO-000001GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Diseases Group, PLLC Past Accepting new patients
Tennessee Kidney Care PLLC PastSince Sep 1, 2017 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1083083380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Walnut Grove Church Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373216104",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 N Thornton Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208515",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374021226",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Kimball",
            "state": "TN",
            "postal_code": "373475477",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Executive Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373437904",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 Ocoee Pl NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373125637",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4630 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307368004",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "CHRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "140292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.