Kristin Tetro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1630 Nashville Pike Ste 200
Gallatin, TN 37066-5266

Phone

(615) 675-0444

Fax

(855) 975-3140

NPI assigned

Feb 8, 2024

Last updated

Oct 22, 2026By 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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1669236709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 NASHVILLE PIKE STE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370665266",
            "telephone_number": "615-675-0444",
            "fax_number": "855-975-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Sage Rd N Ste 300",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "371889361",
            "country_code": "US",
            "telephone_number": "615-675-0444",
            "fax_number": "855-975-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Patterson St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032165",
            "country_code": "US",
            "telephone_number": "615-314-1699",
            "fax_number": "615-622-8905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Uptown Sq",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371290571",
            "country_code": "US",
            "telephone_number": "615-314-1699",
            "fax_number": "615-622-8905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Ramsey Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370551085",
            "country_code": "US",
            "telephone_number": "615-314-1699",
            "fax_number": "615-622-8905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1424 W Baddour Pkwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872685",
            "country_code": "US",
            "telephone_number": "615-314-1699",
            "fax_number": "615-622-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETRO",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5919",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.