Active NPI
Kristina Michelle Whitson, FNP-BC
- Family Nurse Practitioner
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30472
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30472 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | 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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.