Individual provider Active NPI

Kristi Coker, AGNP

  • Adult Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1124441605
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.15621-NP Issued in OH
Practice address
3000 Fairmont Blvd
Knoxville, TN 37917-1659
Phone
(865) 621-0085
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X COA.15621-NP OH
Adult Health Nurse Practitioner 363LA2200X COA.15621-NP OH Primary

Addresses

Primary practice location

3000 Fairmont Blvd
Knoxville, TN 37917-1659

Mailing address

3000 Fairmont Blvd
Knoxville, TN 37917-1659
Phone (865) 621-0085

Other identifiers 1

IdentifierTypeStateIssuer
0099525MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140306000915 OH Practitioner - Nurse Practitioner 2466682745 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Security and Logistics, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Clinic Security and Logistics, Inc. CurrentSince Apr 15, 2025 Accepting new patients

Locations

6788 Loop Rd
Dayton, OH 45459

4977 Northcutt Pl
Dayton, OH 45414
Phone (373) 876-3959

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1124441605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FAIRMONT BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171659",
            "telephone_number": "865-621-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FAIRMONT BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171659",
            "telephone_number": "865-621-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "KRISTI",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.15621-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.15621-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.