Individual provider Active NPI

Krista C Cutshaw, N.P.

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1649285370
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12177 Issued in TN
Practice address
2606 Greenway Dr Ste 101
Knoxville, TN 37918-1991
Phone
(865) 687-3313
Fax
(865) 687-3362
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12177 TN
Family Nurse Practitioner 363LF0000X 12177 TN Primary

Addresses

Primary practice location

2606 Greenway Dr Ste 101
Knoxville, TN 37918-1991

Mailing address

2606 Greenway Dr Ste 101
Knoxville, TN 37918-1991
Phone (865) 637-3313

Other practice location 1

186 Airport Plaza Blvd Ste E
Alcoa, TN 37701-3197
Phone (865) 687-3313

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
I20061208000274 TN Practitioner - Nurse Practitioner 7810996410 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12177TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology & Pain Management Consultants Inc CurrentSince Jul 1, 2016 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 28, 2006 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 28, 2006 Accepting new patients

Locations

186 Airport Plaza Dr
Ste E
Alcoa, TN 37701
Phone (865) 684-4816

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

2606 Greenway Dr
Ste 101
Knoxville, TN 37918
Phone (865) 687-3313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1649285370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 GREENWAY DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181991",
            "telephone_number": "865-637-3313",
            "fax_number": "865-637-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 GREENWAY DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181991",
            "telephone_number": "865-687-3313",
            "fax_number": "865-687-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Airport Plaza Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377013197",
            "country_code": "US",
            "telephone_number": "865-687-3313",
            "fax_number": "865-687-3362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUTSHAW",
        "first_name": "KRISTA",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.