Active NPI
Kysa Myers
- Family Nurse Practitioner
- Hendersonville, TN
National Provider Identifier
1093170243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 35316
- Practice address
- 351 New Shackle Island Rd
Hendersonville, TN 37075-2300 - Phone
- (615) 824-0552
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 35316 | TN | Primary |
Addresses
Primary practice location
351 New Shackle Island Rd
Hendersonville, TN 37075-2300
Mailing address
351 New Shackle Island Rd
Hendersonville, TN 37075-2300
Phone (156) 824-0552
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 |
|---|---|---|---|
| 35316 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1093170243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 NEW SHACKLE ISLAND RD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752300",
"telephone_number": "156-824-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 NEW SHACKLE ISLAND RD",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752300",
"telephone_number": "615-824-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KYSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "35316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.