Individual provider Active NPI

Kristin Lea Byrd, APN

  • Family Nurse Practitioner
  • Alamo, TN
National Provider Identifier
1548569700
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15738 Issued in TN
Practice address
58 S. Bells St
Alamo, TN 38001
Phone
(731) 696-5401
Fax
(731) 696-5404
NPI assigned
Mar 26, 2011
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15738 TN Primary

Addresses

Primary practice location

58 S. Bells St
Alamo, TN 38001

Mailing address

58 S. Bells St
Alamo, TN 38001
Phone (731) 696-5401

Other identifiers 2

IdentifierTypeStateIssuer
1525069MedicaidTN
4297769OtherTNBCBS

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
I20110602000260 TN Practitioner - Nurse Practitioner 2163609009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crockett Medical Clinic IncGroup PAC ID 8921009812, 7 clinicians

Practice addresses (Care Compare)

58 S Bells St
Alamo, TN 38001-1700
Phone (731) 696-5401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett Medical Clinic Inc CurrentSince Apr 6, 2011 Accepting new patients
Independent Radiology Associates PLC PastSince Apr 6, 2011 Accepting new patients

Locations

58 S Bells St
Alamo, TN 38001
Phone (731) 696-5401

Organizations & group practices 2

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 1

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": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1548569700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 S. BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "38001",
            "telephone_number": "731-696-5401",
            "fax_number": "731-696-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S. BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "38001",
            "telephone_number": "731-696-5401",
            "fax_number": "731-696-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KRISTIN",
        "middle_name": "LEA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-26",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525069",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4297769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TN

Sources for this page

Verify at the official NPI Registry.