Active NPI
Kristine Gable, MSN, RN, FNP-C
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1851592604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12748
- Practice address
- 1223 Merrycrest Dr
Memphis, TN 38111-8115 - Phone
- (901) 619-7809
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12748 | TN | Primary |
Addresses
Primary practice location
1223 Merrycrest Dr
Memphis, TN 38111-8115
Mailing address
1223 Merrycrest Dr
Memphis, TN 38111-8115
Phone (901) 619-7809
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03527304 | Medicaid | MS | |
| 1355127 | Medicaid | LA | |
| 7100073720 | Medicaid | KY | |
| 1851592604 | Medicaid | AL | |
| 177189758 | Medicaid | AR | |
| 1507634 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12748 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1851592604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 MERRYCREST DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381118115",
"telephone_number": "901-619-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 MERRYCREST DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381118115",
"telephone_number": "901-619-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABLE",
"first_name": "KRISTINE",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03527304",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1355127",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100073720",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851592604",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177189758",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507634",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
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- Alida Novarese Gage, PH.D.
- Pamela-Sue A Gaillard, RN/NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.