Individual provider Active NPI

Kristina D Thornberry, NP-C

  • Family Nurse Practitioner
  • Fairview, TN
National Provider Identifier
1124773189
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31182 Issued in TN
Practice address
2340 Fairview Blvd Ste 600D
Fairview, TN 37062-9457
Phone
(615) 266-2177
Fax
(615) 266-2331
NPI assigned
Feb 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31182 TN Primary

Addresses

Primary practice location

2340 Fairview Blvd Ste 600D
Fairview, TN 37062-9457

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

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
I20220308000185 TN Practitioner - Nurse Practitioner 8921492927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31182TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Mar 16, 2022 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Aug 1, 2024 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Aug 1, 2024 Accepting new patients
Womens Health Center of Dickson Past Accepting new patients

Locations

143 Henslee Dr
Dickson, TN 37055
Phone (615) 441-5580

111 Highway 70 E
Ste H
Dickson, TN 37055
Phone (615) 446-4400

2340 Fairview Blvd
Ste 600D
Fairview, TN 37062
Phone (615) 266-2177

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

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

8141 Highway 100
Nashville, TN 37221
Phone (615) 515-0026

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: kristina.thornberry@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1124773189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 FAIRVIEW BLVD STE 600D",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629457",
            "telephone_number": "615-266-2177",
            "fax_number": "615-266-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "KRISTINA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, TN

Sources for this page

Verify at the official NPI Registry.