Individual provider Active NPI

Kristin Nicole Hill, MSN, FNP-C

  • Family Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1144839549
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27923 Issued in TN
Practice address
1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510
Phone
(615) 444-4126
Fax
(855) 785-2890
NPI assigned
Jul 31, 2020
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 27923 TN Primary

Addresses

Primary practice location

1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510

Mailing address

1420 W Baddour Pkwy Ste 240
Lebanon, TN 37087-1510
Phone (615) 444-4126

Other names 1

  • Kristin Nicole Shoulders Former name

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
I20210820003187 TN Practitioner - Nurse Practitioner 6406251990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Bradshaw Health, PLLCGroup PAC ID 4880961416, 2 clinicians

Practice addresses (Care Compare)

1420 W Baddour Pkwy
Suite 240
Lebanon, TN 37087-1510
Phone (615) 444-4126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
27923TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradshaw Health, PLLC CurrentSince May 12, 2021 Accepting new patients
Bradshaw Medical Clinic, PC Past Accepting new patients

Locations

1420 W Baddour Pkwy
Ste 240
Lebanon, TN 37087
Phone (615) 444-4126

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFECDA/Endpoint/IFECDA

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

Hospital & facility affiliations 4

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1144839549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 240",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-444-4126",
            "fax_number": "855-785-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W BADDOUR PKWY STE 240",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871510",
            "telephone_number": "615-444-4126",
            "fax_number": "855-785-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SHOULDERS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.