CKKN, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CKKN, LLC

Practice address

317 Seven Springs Way Ste 201
Brentwood, TN 37027-4511

Phone

(615) 846-4558

Fax

(615) 461-1726

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Crystal Koss, CRNANPI 1427585892

Title

Owner

Phone

(615) 507-0047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latrina Novelle Blakemore, FNP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1134356892
  Medicare reassignment NPD
• Margo Fortney, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
  • NPI 1306027040
  Medicare reassignment NPD
• Anne Austin Fottrell, M.D.

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1740222538
  Medicare reassignment NPD
• Rachel Elizabeth Ortiz, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
  • NPI 1730692898
  Medicare reassignment NPD
• Temeka Rene Tunstall, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1124382643
  Medicare reassignment NPD
• Crystal Koss, CRNA

  • Certified Registered Nurse Anesthetist
  • Brentwood, TN
  • NPI 1427585892
  Authorized official Same address or phone
• Malcolm Brian Glass, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
  • NPI 1649456062
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1609336536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274511",
            "telephone_number": "615-846-4558",
            "fax_number": "615-461-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274511",
            "telephone_number": "615-846-4558",
            "fax_number": "615-461-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKKN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "KOSS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-507-0047",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHS Pennsylvania Medical, P.C. (Vanguard CrewCare Wellness Center)
• CHS Texas Medical, P.a. (Well at Dell Health Center)
• CHS TX, Inc.
• Helen K Chung-Hussain, DO
• David Citarrella, CNIM
• Amanda Marie Clabo, FNP-BC
• Hannah K Claiborne
• Charley Marie Benefield Clanton, LBA
• Lauren Paige Clanton, MSN, APN, A/GNP-BC
• Emma Clapp

• Psychiatry Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.