Individual provider Active NPI

Kristine Deanna Izzi, FNP-C

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1831633007
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22009 Issued in TN
Practice address
1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8075
Phone
(615) 376-8195
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 22009 TN Primary

Addresses

Primary practice location

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8075

Mailing address

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8075
Phone (615) 496-7010

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
I20170125000595 TN Practitioner - Nurse Practitioner 0840572038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

109 Del Rio Pike
Franklin, TN 37064-2577
Phone (615) 435-3854

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22009TNMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

109 Del Rio Pike
Franklin, TN 37064
Phone (615) 432-3854

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

Interoperability endpoints

  • Direct secure messaging: kristine.izzi.1@20785.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1831633007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WESTGATE CIR",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278075",
            "telephone_number": "615-496-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WESTGATE CIR",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278075",
            "telephone_number": "615-376-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZI",
        "first_name": "KRISTINE",
        "middle_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.