Kristy Noel Fortune, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

45629 Issued in TN

Practice address

107 Charles E Davis Blvd
Nashville, TN 37210-2745

Phone

(615) 346-3866

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1477200095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DAVIS VALLEY DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012086",
            "telephone_number": "765-432-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHARLES E DAVIS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102745",
            "telephone_number": "615-346-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "KRISTY",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "45629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nashville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Nashville",
            "address_1": "107 Charles E Davis Blvd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372102745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Helms Fortner, APN
• Kimberly B Fortner, M.D.
• Krystal Dominique Fortney, LPC-MHSP
• Michelle Renee Fortney
• Stephanie Dawn Fortney, D.C.
• Sophia Ann Forystek, BEHAVIOR TECHNICIAN
• Nichole Fosdick
• Alyssa Mae Fosnight, AU.D., CCC-A
• Bethany Gallant Fosnot, CRNA
• Matthew Fosnot, APN, CRNA

• All providers in Nashville, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.