Individual provider Active NPI

Kristina Michelle Whitson, FNP-BC

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1750052072
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30472 Issued in TN
Practice address
3107 Starling Dr
Maryville, TN 37803-6910
Phone
(865) 809-4556
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 218555 TN
Nurse Practitioner 363L00000X 0024197389 VA
Family Nurse Practitioner 363LF0000X 30472 TN Primary

Addresses

Primary practice location

3107 Starling Dr
Maryville, TN 37803-6910

Mailing address

3107 Starling Dr
Maryville, TN 37803-6910
Phone (865) 809-4556

Other practice location 1

1606 Santa Rosa Rd Rm 109
Richmond, VA 23229-5001
Phone (877) 316-8773

Other practice location 2

8500 Executive Park Ave
Fairfax, VA 22031-2225
Phone (202) 209-2049

Other names 1

  • Kristina Michelle Whitson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211104002215 TN Practitioner - Nurse Practitioner 5496144883 Reassigns benefits to 1 organization
I20260608000206 VA Practitioner - Nurse Practitioner 5496144883 Reassigns benefits to 1 organization
I20260609003717 DC Practitioner - Nurse Practitioner 5496144883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1032 E Brandon Blvd
Suite 4567
Brandon, FL 33511-5509

1242 Bill Wallace Dr
Friendsville, TN 37737-2558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30472TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 25, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 25, 2021 Accepting new patients

Locations

441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1750052072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STARLING DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036910",
            "telephone_number": "865-809-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STARLING DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036910",
            "telephone_number": "865-809-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 Santa Rosa Rd Rm 109",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295001",
            "country_code": "US",
            "telephone_number": "877-316-8773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Executive Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312225",
            "country_code": "US",
            "telephone_number": "202-209-2049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "KRISTINA",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "218555",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024197389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "WHITSON",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.