Individual provider Active NPI

Krista Leigh Colmenares, AAPN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1760214860
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36693 Issued in TN
Practice address
9724 Shadow Valley Cir
Chattanooga, TN 37421-5380
Phone
(661) 303-7882
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36693 TN Primary

Addresses

Primary practice location

9724 Shadow Valley Cir
Chattanooga, TN 37421-5380

Mailing address

9724 Shadow Valley Cir
Chattanooga, TN 37421-5380
Phone (661) 303-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36693TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1760214860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 SHADOW VALLEY CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374215380",
            "telephone_number": "661-303-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 SHADOW VALLEY CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374215380",
            "telephone_number": "661-303-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMENARES",
        "first_name": "KRISTA",
        "middle_name": "LEIGH",
        "credential": "AAPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.