Individual provider Active NPI

Kristen Majure Powell, M.D.

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1821585761
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
63093 Issued in TN
Practice address
7640 Hwy 70 S
Nashville, TN 37221-1758
Phone
(615) 352-2990
Fax
(615) 352-5071
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 63093 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7640 Hwy 70 S
Nashville, TN 37221-1758

Mailing address

7640 Hwy 70 S
Nashville, TN 37221-1758
Phone (615) 352-2990

Other practice location 1

2200 Children's Way
8161 Dot
Nashville, TN 37232-9760
Phone (615) 936-2555

Other identifiers 1

IdentifierTypeStateIssuer
Q041532MedicaidTN

Other names 1

  • Kristen Majure Wilson 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828004382 TN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315297124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63093TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Pediatrics PLLC Pediatrics Past Accepting new patients
Old Harding Pediatric Associates Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristen.powell@ohpa.directbygreenway.com
  • Direct secure messaging: kristen.powell.1@31800.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1821585761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 HWY 70 S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211758",
            "telephone_number": "615-352-2990",
            "fax_number": "615-352-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 HWY 70 S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211758",
            "telephone_number": "615-352-2990",
            "fax_number": "615-352-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Children's Way",
            "address_2": "8161 DOT",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372329760",
            "country_code": "US",
            "telephone_number": "615-936-2555",
            "fax_number": "615-936-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KRISTEN",
        "middle_name": "MAJURE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "63093",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q041532",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WILSON",
            "middle_name": "MAJURE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.