Individual provider Active NPI

Kristi Cook, FNP

  • Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1851394589
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN6418 Issued in TN
Practice address
2001 E Stonebrook PL
Kingsport, TN 37660-4000
Phone
(423) 224-1000
Fax
(423) 224-1023
NPI assigned
May 27, 2005
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1128283 VA
Nurse Practitioner 363L00000X APN6418 TN Primary

Addresses

Primary practice location

2001 E Stonebrook PL
Kingsport, TN 37660-4000

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other practice location 1

1006 US Highway 23 North
Weber City, VA 24290-7021
Phone (276) 225-0976

Other practice location 2

43 Champions Ave
Big Stone Gap, VA 24219-1105
Phone (276) 523-8300

Other practice location 3

109 W Watauga Ave
Johnson City, TN 37604-5668
Phone (423) 232-2600

Other practice location 4

426 E G St
Elizabethton, TN 37643-3224
Phone (423) 547-5950

Other practice location 5

34084 Wilderness Rd
Jonesville, VA 24263-7899
Phone (276) 346-3590

Other identifiers 3

IdentifierTypeStateIssuer
007784040MedicaidVA
3649745MedicaidTN
7784040MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041026000281 TN Practitioner - Nurse Practitioner 7517928294 Reassigns benefits to 1 organization
I20250219001956 VA Practitioner - Nurse Practitioner 7517928294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

1006 US Hwy 23 N
Weber City, VA 24290-7021
Phone (276) 225-0976

2001 E Stonebrook PL
Kingsport, TN 37660-4000
Phone (423) 467-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RN1128283VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Oct 23, 2021 Accepting new patients
Frontier Health CurrentSince Oct 23, 2021 Accepting new patients
Rodney J. Watson, M.D., Mpllc Past Accepting new patients

Locations

1145 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 989-4500

426 E G St
Elizabethton, TN 37643
Phone (423) 547-5950

218 N Main Ave
Erwin, TN 37650
Phone (423) 743-1470

109 W Watauga Ave
Johnson City, TN 37604
Phone (423) 232-2600

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

2001 E Stonebrook Pl
Kingsport, TN 37660
Phone (423) 224-1000

43 Champions Ave
Big Stone Gap, VA 24219
Phone (276) 245-5001

1431 Duff Patt Hwy
Duffield, VA 24244
Phone (276) 431-4370

34084 Wilderness Rd
Jonesville, VA 24263

1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1851394589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E STONEBROOK PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604000",
            "telephone_number": "423-224-1000",
            "fax_number": "423-224-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 US Highway 23 North",
            "address_purpose": "LOCATION",
            "city": "Weber City",
            "state": "VA",
            "postal_code": "242907021",
            "country_code": "US",
            "telephone_number": "276-225-0976",
            "fax_number": "276-225-1241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Champions Ave",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242191105",
            "country_code": "US",
            "telephone_number": "276-523-8300",
            "fax_number": "276-523-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W Watauga Ave",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045668",
            "country_code": "US",
            "telephone_number": "423-232-2600",
            "fax_number": "423-232-2646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "426 E G St",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376433224",
            "country_code": "US",
            "telephone_number": "423-547-5950",
            "fax_number": "423-547-5953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34084 Wilderness Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesville",
            "state": "VA",
            "postal_code": "242637899",
            "country_code": "US",
            "telephone_number": "276-346-3590",
            "fax_number": "276-346-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "RN1128283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN6418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007784040",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3649745",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7784040",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.