Individual provider Active NPI

Kolby Ashton Herron, APRN

  • Family Nurse Practitioner
  • Ripley, TN
National Provider Identifier
1811630775
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31242 Issued in TN
Practice address
202 Tucker Ave
Ripley, TN 38063-1631
Phone
(731) 635-4741
Fax
(731) 635-3466
NPI assigned
Apr 19, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 31242 TN Primary

Addresses

Primary practice location

202 Tucker Ave
Ripley, TN 38063-1631

Mailing address

202 Tucker Ave
Ripley, TN 38063-1631
Phone (731) 635-4741

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
I20231013002436 TN Practitioner - Nurse Practitioner 0840645628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

1144 Fortress Blvd
Suite K
Murfreesboro, TN 37128-5589
Phone (615) 809-3541

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Sep 28, 2023 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Sep 28, 2023 Accepting new patients

Locations

1144 Fortress Blvd
Ste K
Murfreesboro, TN 37128
Phone (615) 809-3541

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17303/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1811630775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TUCKER AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631631",
            "telephone_number": "731-635-4741",
            "fax_number": "731-635-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TUCKER AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631631",
            "telephone_number": "731-635-4741",
            "fax_number": "731-635-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "KOLBY",
        "middle_name": "ASHTON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

Verify at the official NPI Registry.