Individual provider Active NPI

Kristy Lynette Williams, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1184109159
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24132 Issued in TN
Practice address
9000 Executive Park Dr
Knoxville, TN 37923-4685
Phone
(865) 670-6792
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 24132 TN Primary

Addresses

Primary practice location

9000 Executive Park Dr
Knoxville, TN 37923-4685

Mailing address

5142 Stiles LN
Strawberry Plains, TN 37871-1671
Phone (865) 924-5884

Other identifiers 1

IdentifierTypeStateIssuer
24132OtherTNADVANCED PRACTICE REGISTERED NURSE

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
I20181204000994 TN Practitioner - Nurse Practitioner 7810231701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24132TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Jan 3, 2026 Accepting new patients
University Health System Inc CurrentSince Jan 3, 2026 Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1184109159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 STILES LN",
            "city": "STRAWBERRY PLAINS",
            "state": "TN",
            "postal_code": "378711671",
            "telephone_number": "865-924-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 EXECUTIVE PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234685",
            "telephone_number": "865-670-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTY",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "24132",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.