Individual provider Active NPI

Kristy L Daniels, FNP

  • Family Nurse Practitioner
  • Somerville, TN
National Provider Identifier
1114770971
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36108 Issued in TN
Practice address
16530 US Highway 64
Somerville, TN 38068-6185
Phone
(901) 813-8138
Fax
(901) 813-8793
NPI assigned
Apr 10, 2024
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 260774 TN
Family Nurse Practitioner 363LF0000X 36108 TN Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240611001011 TN Practitioner - Nurse Practitioner 9436691086 Reassigns benefits to 2 organizations

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
David L SeatonGroup PAC ID 2567998933, 5 clinicians

Practice addresses (Care Compare)

16530 US Hwy 64
Somerville, TN 38068-6185
Phone (901) 813-8138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260774TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 8, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 8, 2024 Accepting new patients
David L Seaton CurrentSince Apr 1, 2025 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

  • Direct secure messaging: kristy.daniels@633472149356548.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1114770971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 US HIGHWAY 64",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686185",
            "telephone_number": "901-813-8793",
            "fax_number": "901-813-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 US HIGHWAY 64",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686185",
            "telephone_number": "901-813-8138",
            "fax_number": "901-813-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KRISTY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "260774",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, TN

Sources for this page

Verify at the official NPI Registry.