Individual provider Active NPI

Lisa Kaye Kruger, PMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1396441572
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
33256 Issued in TN
Practice address
214 S Peters Rd Ste 101
Knoxville, TN 37923-5229
Phone
(865) 789-2290
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 33256 TN Primary

Addresses

Primary practice location

214 S Peters Rd Ste 101
Knoxville, TN 37923-5229

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (865) 588-3173

Other practice location 1

10434 Jackson Oaks Way
Knoxville, TN 37922-3293
Phone (865) 588-3173

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
I20230817001734 TN Practitioner - Nurse Practitioner 9931561255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Dowell Springs Behavioral Health, LLCGroup PAC ID 5597157016, 11 clinicians

Practice addresses (Care Compare)

1444 Old Weisgarber Rd
Knoxville, TN 37909-1293
Phone (865) 722-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
33256TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dowell Springs Behavioral Health, LLC CurrentSince May 30, 2023 Accepting new patients
Southland Behavioral Health Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Jun 18, 2024 Accepting new patients

Locations

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

9220 Park West Blvd
Ste 1
Knoxville, TN 37923
Phone (865) 247-6754

1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770

1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1396441572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "865-588-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S PETERS RD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235229",
            "telephone_number": "865-789-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10434 Jackson Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223293",
            "country_code": "US",
            "telephone_number": "865-588-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "LISA",
        "middle_name": "KAYE",
        "credential": "PMHNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "33256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.