Individual provider Active NPI

Kristine Lynn Nutt, LCSW, LCAS, CCS

  • Clinical Social Worker
  • Rockingham, NC
National Provider Identifier
1245379973
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004355 Issued in NC
Practice address
523 Rockingham Rd
Rockingham, NC 28379-3615
Phone
(910) 562-9882
NPI assigned
Feb 6, 2007
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 711 NC
Clinical Social Worker 1041C0700X C004355 NC Primary

Addresses

Primary practice location

523 Rockingham Rd
Rockingham, NC 28379-3615

Mailing address

814 S Grove St Ste a
Hendersonville, NC 28792-5785
Phone (828) 577-2598

Other practice location 1

22 W Main St
Brevard, NC 28712-3634
Phone (828) 577-2598

Other practice location 2

814 S Grove St Ste A
Hendersonville, NC 28792-5785
Phone (828) 577-2598

Other names 1

  • Kristine Lynn Tambini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071207000572 NC Practitioner - Clinical Social Worker 2567551914 Reassigns benefits to 1 organization
I20211105000603 AZ Practitioner - Clinical Social Worker 2567551914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004355NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KNRB and Associates Global, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Move the Path Recovery and Wellness Services Addiction (Substance Use Disorder) CurrentSince Sep 6, 2020 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 5, 2023 Accepting new patients
Evolution Recovery Asheville, LLC Past Accepting new patients
Mountain Podiatry PA Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

814 S Grove St
Ste A
Hendersonville, NC 28792
Phone (828) 577-3720

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1245379973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S GROVE ST STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925785",
            "telephone_number": "828-577-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793615",
            "telephone_number": "910-562-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 W Main St",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123634",
            "country_code": "US",
            "telephone_number": "828-577-2598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 S Grove St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287925785",
            "country_code": "US",
            "telephone_number": "828-577-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTT",
        "first_name": "KRISTINE",
        "middle_name": "LYNN",
        "credential": "LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "TAMBINI",
            "middle_name": "LYNN",
            "credential": "LCSW, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.