Individual provider Active NPI

Kristen Pumphrey, OD

  • Corneal and Contact Management Optometrist
  • Jonesborough, TN
National Provider Identifier
1255446076
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2691 Issued in TN
Practice address
395 Forest Cir
Unit 120
Jonesborough, TN 37659-1439
Phone
(423) 753-7760
Fax
(423) 753-7466
NPI assigned
Aug 20, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2497 OK
Optometrist 152W00000X 2691 TN
Corneal and Contact Management Optometrist 152WC0802X 2691 TN Primary

Addresses

Primary practice location

395 Forest Cir
Unit 120
Jonesborough, TN 37659-1439

Mailing address

395 Forest Cir
Unit 120
Jonesborough, TN 37659-1439
Phone (423) 753-7760

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080712000096 TN Practitioner - Optometry 6204835770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonesborough Eye Clinic, PLLCGroup PAC ID 0941349658, 2 clinicians

Practice addresses (Care Compare)

395 Forest Cir
Suite 120
Jonesborough, TN 37659-1449
Phone (423) 753-7760

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesborough Eye Clinic, PLLC Corneal and Contact Management CurrentSince Nov 2, 2009 Accepting new patients
Cherokee Nation Past Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

395 Forest Cir
Ste 120
Jonesborough, TN 37659
Phone (423) 753-7760

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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, 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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1255446076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 FOREST CIR",
            "address_2": "UNIT 120",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591439",
            "telephone_number": "423-753-7760",
            "fax_number": "423-753-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 FOREST CIR",
            "address_2": "UNIT 120",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591439",
            "telephone_number": "423-753-7760",
            "fax_number": "423-753-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2497",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2691",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

Verify at the official NPI Registry.