Kristin Renae Hickman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11700377 Issued in TN

Practice address

121 Newport Towne Ctr
Newport, TN 37821-7391

Phone

(423) 532-8621

Fax

(423) 532-8704

NPI assigned

Jul 18, 2019

Last updated

Feb 9, 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

Other names 1

• Kristin Renae Wilson Former name

Electronic endpoints 1

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Affiliates, PCGroup PAC ID 7012981772, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.hickman.1@3525.direct.athenahealth.com

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.

• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Knoxville, TN
  • NPI 1780809012
  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Powell, TN
  • NPI 1235410374
  NPD
• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Farragut, TN
  • NPI 1619474855
  NPD
• Allergy & Asthma Affiliates, PC

  • Allergy & Immunology Physician
  • Knoxville, TN
  • NPI 1881864882
  NPD (past)
• Lakeway Dermatology Associates PC

  • Dermatology Physician
  • Morristown, TN
  • NPI 1386031979
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1699328765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217391",
            "telephone_number": "423-532-8621",
            "fax_number": "423-532-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217391",
            "telephone_number": "423-532-8621",
            "fax_number": "423-532-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "KRISTIN",
        "middle_name": "RENAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11700377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.hickman.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "121 Newport Towne Ctr",
            "city": "Newport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378217391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WILSON",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay Erin Henderson, NP
• Brandi Lynn Hensley, MS
• Chasity C Hensley
• Evan J. Hewgley, PA
• Melody Suzanne Hickman-Horvath, LCSW
• Skyller Hicks
• Virginia Leigh Hightower, PTA
• Sue C Hirsch, GNP, BC
• James Loran Hodge, OD
• Ariel Paige Holt

• Family Nurse Practitioner in Newport, TN
• Providers in Newport, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.