Kristy L Daniels, FNP
Individual provider Active NPI Family Nurse Practitioner · Somerville, TN
NPI 1114770971 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1114770971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 36108 (TN)
- Practice address
- 16530 US Highway 64
Somerville, TN 38068-6185 - Phone
- (901) 813-8138
- Fax
- (901) 813-8793
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- David L Seaton
Practice addresses (Care Compare)
16530 US Hwy 64
Somerville, TN 38068-6185
Phone (901) 813-8138
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20240611001011 | TN | Practitioner - Nurse Practitioner | 9436691086 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260774 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| David L Seaton | Current |
Accepting new patients |
Locations
7400 Highway 64
Oakland, TN 38060
Phone (901) 424-0346
16530 US Highway 64
Somerville, TN 38068
Phone (901) 813-8138
Interoperability endpoints
- kristy.daniels@633472149356548.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 260774 | TN | |
| Family Nurse Practitioner | 363LF0000X | 36108 | TN | Yes |
Addresses
Primary practice location
16530 US Highway 64
Somerville, TN 38068-6185
Mailing address
16530 US Highway 64
Somerville, TN 38068-6185
Phone (901) 813-8793
Other providers in Somerville, TN
- John David Cima
- Jamey K Colston
- County of Fayette
- Stephanie Grae Cox
- Emily R Crout
- David L Seaton
- Deborah Louise Davis
- Deanna Elsea, M.D.
- DJB Pharmacy LLC
- Doc Supply of West Tennessee, LLC
All providers in Somerville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.