Kristen Dianna Fajgenbaum, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

70946 Issued in TN

Practice address

2301 21St Ave S
Nashville, TN 37212-4908

Phone

(615) 327-9797

Fax

(615) 613-0329

NPI assigned

Mar 26, 2020

Last updated

Jul 11, 2024By 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 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of North Carolina at Chapel Hill School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nashville Skin and Cancer, PLCGroup PAC ID 2961446026, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.55 of 100Reported as group

Quality

80.6

Promoting interoperability

97

Improvement activities

40

Cost

67.09

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nashville Skin and Cancer, PLC

  dba Nashville Skin Comprehensive Dermatology Center

  • Dermatology Physician
  • Nashville, TN
  • NPI 1497700231
  Medicare reassignment Care Compare group NPD
• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1639706807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124908",
            "telephone_number": "615-327-9797",
            "fax_number": "615-613-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJGENBAUM",
        "first_name": "KRISTEN",
        "middle_name": "DIANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "70946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Home Healthcare, LLC
• Faith Speech, Language, & Swallowing SVCS (Faith Speech, Language, & Swallowing Services)
• Gary Carroll Faith, LCSW LICENSED CLINIC
• Faithful Transportation Services LLC (Faithful Transportation Services)
• Faithway Transportation
• Amna Fakhar
• Jessica Marie Fakhoury
• Abu S Fakhruddin, MD
• Carrie Lynn Falasca, DNP CRNA
• Ashley Falconberry

• Dermatology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.