Active NPI
Krista A Garner, FNP-C
- Primary Care Nurse Practitioner
- Monteagle, TN
National Provider Identifier
1154421972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN0000040620
- Practice address
- 926 West Main Street
Monteagle, TN 37356 - Phone
- (931) 924-6006
- Fax
- (931) 924-6007
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN0000040620 | TN | Primary |
Addresses
Primary practice location
926 West Main Street
Monteagle, TN 37356
Mailing address
PO Box 1148
926 West Main Street
Monteagle, TN 37356-1148
Phone (931) 924-6006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3345194 | Medicaid | TN | |
| 4016688 | Other | TN | BLUECROSS BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000040620 | TN | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1154421972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1148",
"address_2": "926 WEST MAIN STREET",
"city": "MONTEAGLE",
"state": "TN",
"postal_code": "373561148",
"telephone_number": "931-924-6006",
"fax_number": "931-924-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 WEST MAIN STREET",
"city": "MONTEAGLE",
"state": "TN",
"postal_code": "37356",
"telephone_number": "931-924-6006",
"fax_number": "931-924-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "KRISTA",
"middle_name": "A",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "RN0000040620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3345194",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD ID",
"identifier": "4016688",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monteagle, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.