Kristin Renae Hickman, APRN
Individual provider Active NPI Family Nurse Practitioner · Newport, TN
NPI 1699328765 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1699328765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11700377 (TN)
- Practice address
- 121 Newport Towne Ctr
Newport, TN 37821-7391 - Phone
- (423) 532-8621
- Fax
- (423) 532-8704
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allergy and Asthma Affiliates, PC
Practice addresses (Care Compare)
2121 Highland Ave
Knoxville, TN 37916-1111
Phone (865) 525-2640
632 Dolly Parton Pkwy
Suite 5
Sevierville, TN 37862-3601
Phone (865) 429-9070
808 W 4TH N St
Morristown, TN 37814-3813
Phone (423) 254-3590
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200130003296 | TN | Practitioner - Nurse Practitioner | 1557797024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11700377 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Affiliates, PC | Current |
Accepting new patients | |
| Allergy & Asthma Affiliates, PC | Current |
Accepting new patients | |
| Allergy & Asthma Affiliates, PC | Current | Accepting new patients | |
| Lakeway Dermatology Associates PC | Past |
Accepting new patients | |
| Allergy & Asthma Affiliates, PC | Past | Accepting new patients |
Locations
123 Gill St
Alcoa, TN 37701
Phone (865) 977-8242
2121 Highland Ave
Knoxville, TN 37916
Phone (865) 525-2640
9017 Cross Park Dr
Ste 100
Knoxville, TN 37923
Phone (865) 693-4556
116 Concord Rd
Ste 200
Knoxville, TN 37934
Phone (865) 288-0808
808 W 4th North St
Morristown, TN 37814
Phone (423) 254-3590
1060 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 525-2640
7714 Conner Rd
Ste 108
Powell, TN 37849
Phone (865) 938-7759
632 Dolly Parton Pkwy
Ste 5
Sevierville, TN 37862
632 Dolly Parton Pkwy
#5
Sevierville, TN 37862
Phone (865) 429-9070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11700377 | TN | Yes |
Addresses
Primary practice location
121 Newport Towne Ctr
Newport, TN 37821-7391
Mailing address
121 Newport Towne Ctr
Newport, TN 37821-7391
Phone (423) 532-8621
Other names
- Kristin Renae Wilson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristin.hickman.1@3525.direct.athenahealth.com | Direct |
Other providers in Newport, TN
- Lindsay Erin Henderson
- Brandi Lynn Hensley
- Chasity C Hensley
- Evan J. Hewgley
- Melody Suzanne Hickman-Horvath
- Skyller Hicks
- Virginia Leigh Hightower
- Sue C Hirsch
- James Loran Hodge
- Ariel Paige Holt
All providers in Newport, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.