Individual provider Active NPI

Kristina Nicole Fritch, PHARMD, MBA

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1477222867
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44466 Issued in TN
Practice address
1012 Glendale LN
Nashville, TN 37204-4159
Phone
(813) 789-8698
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44466 TN Primary

Addresses

Primary practice location

1012 Glendale LN
Nashville, TN 37204-4159

Mailing address

111 Acklen Park Dr Apt 485
Nashville, TN 37203-1193
Phone (813) 789-8698

Other identifiers 1

IdentifierTypeStateIssuer
44466OtherTNPHARMACY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.myfunctionalpharmacist.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
44466TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1477222867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ACKLEN PARK DR APT 485",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031193",
            "telephone_number": "813-789-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 GLENDALE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044159",
            "telephone_number": "813-789-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITCH",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "44466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "44466",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.myfunctionalpharmacist.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "1012 Glendale Ln",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372044159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.