Individual provider Active NPI

Irion Ferrymae Peterson, FNP

  • Family Nurse Practitioner
  • Gallatin, TN
National Provider Identifier
1093503468
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38306 Issued in TN
Practice address
204 Bushs LN
Gallatin, TN 37066-7990
Phone
(615) 681-0127
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4045725 KY
Family Nurse Practitioner 363LF0000X 38306 TN Primary

Addresses

Primary practice location

204 Bushs LN
Gallatin, TN 37066-7990

Mailing address

1014 Vine St
Cincinnati, OH 45202-1100
Phone (888) 852-2567

Other practice location 1

2945 Scottsville Rd
Bowling Green, KY 42104-6331
Phone (270) 783-3992

Other practice location 2

2011 Nashville Pike
Gallatin, TN 37066-3162
Phone (615) 575-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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
I20250627003193 TN Practitioner - Nurse Practitioner 3577076066 Reassigns benefits to 1 organization
I20251120003438 KY Practitioner - Nurse Practitioner 3577076066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

2011 Nashville Pike
Gallatin, TN 37066-3162
Phone (615) 575-1130

2945 Scottsville Rd
Suite E32
Bowling Green, KY 42104-6514
Phone (270) 783-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4045725KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Sep 19, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jul 14, 2025 Accepting new patients

Locations

2945 Scottsville Rd
Ste E32
Bowling Green, KY 42104
Phone (270) 783-3992

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

2011 Nashville Pike
Gallatin, TN 37066
Phone (615) 230-3900

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: irion.peterson@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1093503468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021100",
            "telephone_number": "888-852-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BUSHS LN",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370667990",
            "telephone_number": "615-681-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Scottsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421046331",
            "country_code": "US",
            "telephone_number": "270-783-3992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Nashville Pike",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663162",
            "country_code": "US",
            "telephone_number": "615-575-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "IRION",
        "middle_name": "FERRYMAE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4045725",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.