Individual provider Active NPI

Kristina Nicole Beene, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1356890040
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021187 Issued in TN
Practice address
1524 Williams Dr # 102
Murfreesboro, TN 37129-3274
Phone
(615) 953-9007
Fax
(615) 225-9105
NPI assigned
Sep 23, 2016
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000021187 TN Primary
Registered Nurse 163W00000X RN0000159540 TN

Addresses

Primary practice location

1524 Williams Dr # 102
Murfreesboro, TN 37129-3274

Mailing address

65 Racoon Branch LN
Hickman, TN 38567
Phone (615) 766-2097

Other practice location 1

750 E Spring St
Suite D
Cookeville, TN 38501-4527
Phone (931) 526-4084

Other names 1

  • Kristina Nicole Rayner Former name

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
I20161108000054 TN Practitioner - Nurse Practitioner 1456630870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Corporate Wellness LLCGroup PAC ID 8628408622, 2 clinicians

Practice addresses (Care Compare)

1524 Williams Dr
Suite 102
Murfreesboro, TN 37129-3274
Phone (615) 225-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000159540TNMDRegistered Nurse
APN0000021187TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Corporate Wellness, LLC Family CurrentSince Mar 7, 2020 Accepting new patients
Shea Chiropractic PC PastSince Jul 2, 2008 Accepting new patients
Stones River Pain & Joint Family Past Accepting new patients

Locations

1524 Williams Dr
#102
Murfreesboro, TN 37129
Phone (615) 225-9100

1524 Williams Dr
Ste 102
Murfreesboro, TN 37129
Phone (615) 225-9100

Organizations & group practices 3

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1356890040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RACOON BRANCH LN",
            "city": "HICKMAN",
            "state": "TN",
            "postal_code": "38567",
            "telephone_number": "615-766-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 WILLIAMS DR # 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293274",
            "telephone_number": "615-953-9007",
            "fax_number": "615-225-9105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Spring St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014527",
            "country_code": "US",
            "telephone_number": "931-526-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEENE",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021187",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000159540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "RAYNER",
            "middle_name": "NICOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.