Kylie Danielle Blackett, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

31898 Issued in TN

Practice address

3500 N Mount Juliet Rd Ste 201
Mount Juliet, TN 37122-3059

Phone

(615) 758-5672

NPI assigned

Jun 2, 2022

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1478

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.

• Crossroads Medical Group, PLLC

  • Clinic/Center
  • White House, TN
  • NPI 1073539607
  Medicare reassignment NPD
• West Wilson Family Practice Center, P.C.

  • Primary Care Clinic/Center
  • Mount Juliet, TN
  • NPI 1598779837
  NPD
• Crossroads Medical Group, P.a.

  • Internal Medicine Physician
  • Balitmore, MD
  • NPI 1720041890
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1508505983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N MOUNT JULIET RD STE 201",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223059",
            "telephone_number": "615-975-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N MOUNT JULIET RD STE 201",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223059",
            "telephone_number": "615-758-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Mount Vernon Ln",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371222802",
            "country_code": "US",
            "telephone_number": "615-975-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKETT",
        "first_name": "KYLIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31898",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "191152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Grace Binkley
• Bivens Dentistry, PLLC
• Shaun Michael Bivens, D.M.D.
• BJ's Wholesale Club Inc.
• Jenna Blackburn
• Bloom Pediatric Therapy
• Liela Bloom
• Blossom Health Services
• Karrigan Ashlyn Bludworth
• Bluespring Behavioral Health LLC

• Family Nurse Practitioner in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.