Individual provider Active NPI

Kendra Skyler Gambill, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Follette, TN
National Provider Identifier
1376357038
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
39525 Issued in TN
Practice address
306 S 16TH St
La Follette, TN 37766-2780
Phone
(606) 682-7373
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 251979 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 39525 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4045291 KY

Addresses

Primary practice location

306 S 16TH St
La Follette, TN 37766-2780

Mailing address

306 S 16TH St
La Follette, TN 37766-2780

Other practice location 1

10133 Sherrill Blvd Ste 22O
Knoxville, TN 37932-3347
Phone (615) 320-1155

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
I20250926004510 TN Practitioner - Nurse Practitioner 1456856574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Consulting and Psychological Services, PLLCGroup PAC ID 5294719795, 60 clinicians
Exceptional Care Services LLCGroup PAC ID 5799175741, 36 clinicians

Practice addresses (Care Compare)

10133 Sherrill Blvd
Suite 220
Knoxville, TN 37932-3347
Phone (615) 320-1155

902 Buchanan Rd
New Tazewell, TN 37825-7410
Phone (502) 338-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4045291KYMDPsychiatric/Mental Health Nurse Practitioner
39525TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Care Services LLC CurrentSince Sep 1, 2025 Accepting new patients
Athena Consulting and Psychological Services, PLLC CurrentSince Sep 25, 2025 Accepting new patients

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869

537 Spring St
Dover, TN 37058
Phone (502) 338-8884

109 Hazel Path
Ste 4
Hendersonvlle, TN 37075
Phone 6153201155 ext. 232

10133 Sherrill Blvd
Ste 220
Knoxville, TN 37932
Phone (776) 641-1155

902 Buchanan Rd
New Tazewell, TN 37825
Phone (423) 626-7297

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1376357038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S 16TH ST",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 16TH ST",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662780",
            "telephone_number": "606-682-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10133 Sherrill Blvd Ste 22O",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379323347",
            "country_code": "US",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBILL",
        "first_name": "KENDRA",
        "middle_name": "SKYLER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "251979",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "39525",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4045291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.