Kristie M Anderson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1045 W Main St Ste C
Monteagle, TN 37356-7032

Phone

(931) 327-5276

Fax

(319) 463-9008

NPI assigned

Jan 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Compassionate Home Care & Staffing

  • In Home Supportive Care Agency
  • Sewanee, TN
  • NPI 1659989663

  In Home Supportive Care

  NPD

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1255848842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 SEQUATCHIE MOUNTAIN RD",
            "city": "SEQUATCHIE",
            "state": "TN",
            "postal_code": "373747069",
            "telephone_number": "931-327-5276",
            "fax_number": "931-463-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W MAIN ST STE C",
            "city": "MONTEAGLE",
            "state": "TN",
            "postal_code": "373567032",
            "telephone_number": "931-327-5276",
            "fax_number": "319-463-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE NUMBER",
            "identifier": "9319247823",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 21St Century Chiropractic P.C.
• Amg -Southern Tennessee LLC
• Amg-Southern Tennessee LLC
• Amg-Southern Tennessee LLC
• Arthur Davies MD, PLLC
• Tom N. Brewer
• Anne Porcher Burnett, NP-C
• Thomas George Camp, M.DIV., M.S.
• Community Medical Center of Monteagle

• All providers in Monteagle, TN
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.