Kristen Michelle Soder, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15110 Issued in TN

Practice address

725 Glenwood Dr Ste E680
Chattanooga, TN 37404-1176

Phone

(423) 495-7378

NPI assigned

Aug 20, 2010

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

Other identifiers 1

Other names 1

• Kristen Michelle Burgdorff Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545
  Medicare reassignment NPD
• Memorial Health Partners Foundation Inc

  dba CHI Memorial Family Practice Associates - Lafayette

  • Rural Health Clinic/Center
  • La Fayette, GA
  • NPI 1760632780
  NPD
• Beacon Health Alliance PC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1447205182
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1114233707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303683207",
            "telephone_number": "423-495-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E680",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041176",
            "telephone_number": "423-495-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Taft Hwy",
            "address_purpose": "LOCATION",
            "city": "Signal Mountain",
            "state": "TN",
            "postal_code": "373773207",
            "country_code": "US",
            "telephone_number": "423-886-7529",
            "fax_number": "423-886-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Hamill Rd",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373436614",
            "country_code": "US",
            "telephone_number": "423-495-7353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Gunbarrel Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213192",
            "country_code": "US",
            "telephone_number": "423-206-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODER",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "143876",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519729",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BURGDORFF",
            "middle_name": "MICHELLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Snyder, LPN
• Rebecca T Snyder, MSN, RN
• Robert J Snyder III, M.A.
• Sarah E Snyder, NP
• Joseph B Sobel, MD
• Shehnila Amin Sohani, R.N.
• Azam H Sohi, M.D.
• Solace Home Care LLC
• Solace Mind and Wellness, PLLC
• Solace, LLC

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, 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 Dec 9, 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.