Individual provider Active NPI

Kristen Rogers Harris, FNP

  • Family Nurse Practitioner
  • Athens, TN
National Provider Identifier
1760815450
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17741 Issued in TN
Practice address
119 Epperson St
Athens, TN 37303-3478
Phone
(423) 745-7500
NPI assigned
Aug 16, 2013
Last updated
Jan 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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 17741 TN Primary

Addresses

Primary practice location

119 Epperson St
Athens, TN 37303-3478

Mailing address

8411 Ivy Falls Way
Apt. 1838
Knoxville, TN 37923-3167

Other names 1

  • Kristen Rebekah Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190618003629 TN Practitioner - Nurse Practitioner 7517291933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 22, 2019 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince May 22, 2019 Accepting new patients
Chattanooga Children's Clinic, PLLC Past Accepting new patients

Locations

1200 Dodson Ave
Chattanooga, TN 37406
Phone (423) 778-2800

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1760815450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 IVY FALLS WAY",
            "address_2": "APT. 1838",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EPPERSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033478",
            "telephone_number": "423-745-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KRISTEN",
        "middle_name": "ROGERS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ROGERS",
            "middle_name": "REBEKAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.