Kristen Deaton, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tiptonville, TN
NPI 1760159545 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1760159545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 30202 (TN)
- Practice address
- 710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678 - Phone
- (731) 253-6690
- Fax
- (731) 253-6692
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizens of Lake County for Health Care Inc
Practice addresses (Care Compare)
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone (731) 253-6692
Hospital & facility affiliations
- Lauderdale Community Hospital
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 |
|---|---|---|---|---|
| I20211029000082 | TN | Practitioner - Nurse Practitioner | 7618365388 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30202 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens of Lake County for Health Care Inc | Current |
Accepting new patients | |
| Citizens of Lake County for Health Care Inc | Current |
Accepting new patients | |
| Citizens of Lake County for Health Care Inc | Current | Accepting new patients | |
| Citizens of Lake County for Health Care, Inc | Past | Accepting new patients |
Locations
130 N Main St
Ridgely, TN 38080
Phone (731) 264-5518
317 Cleveland St
Ripley, TN 38063
Phone (731) 221-1804
710 Carl Perkins Pkwy
Tiptonville, TN 38079
Phone (731) 253-6690
321 E Harper St
Troy, TN 38260
Phone (731) 442-0956
Interoperability endpoints
- kristen.deaton.p1@direct.clchc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 30202 | TN | Yes |
Addresses
Primary practice location
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Mailing address
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone (731) 253-6690
Other providers in Tiptonville, TN
- Daniel W. Bruce
- Cinderella Wigs & Breast Prosthetics
- Citizens of Lake County for Health Care Inc
- Amanda Collins
- County of Lake
- Kerri A Ervin
- Courtney Faught
- Colton Edward Gramse
- Carol Winfred Guess
- Norma Jean Johnson
All providers in Tiptonville, TN · Psychiatric/Mental Health 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 Nov 14, 2025. 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.