NPIMap

Individual provider Active NPI

Kristen D Jarvis, DO

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1386655264
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2536 Issued in TN
Practice address
4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405
Phone
(865) 647-3260
Fax
(865) 647-3279
NPI assigned
Aug 10, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2536 TN
Family Medicine Physician 207Q00000X DO2536 TN Primary

Addresses

Primary practice location

4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405

Mailing address

4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405
Phone (865) 647-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000470 TN Practitioner - Family PracticePractitioner - Emergency Medicine 9133222979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

4711 Centerline Dr
Suite 100
Knoxville, TN 37917-1405
Phone (865) 647-3260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2536TNMDOptometrist
DO2536TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 23, 2013 Accepting new patients
Knoxville Hma Physician Management, LLC CurrentSince May 1, 2024 Accepting new patients
Fort Wayne Medical Education Program Family Medicine PastSince Sep 1, 2024 Accepting new patients
Richmond Family Care Center, P.C. Family Medicine Past Accepting new patients
Knoxville Hma Cardiology PPM, LLC Past Accepting new patients

Locations

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

4711 Centerline Dr
Ste 100
Knoxville, TN 37917
Phone (865) 545-8700

7422 Norris Fwy
Knoxville, TN 37938
Phone (865) 392-3400

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristen.jarvis.1@4694.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1386655264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171405",
            "telephone_number": "865-647-3260",
            "fax_number": "865-647-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171405",
            "telephone_number": "865-647-3260",
            "fax_number": "865-647-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "KRISTEN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2536",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO2536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.