Kristy Fowler
Individual provider Active NPI Case Manager/Care Coordinator · Mooresburg, TN
NPI 1861369092 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1861369092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1209 County Line Rd
Mooresburg, TN 37811-5563 - Phone
- (423) 307-4643
- NPI assigned
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | Yes |
Addresses
Primary practice location
1209 County Line Rd
Mooresburg, TN 37811-5563
Mailing address
1209 County Line Rd
Mooresburg, TN 37811-5563
Phone (423) 307-4643
Other providers in Mooresburg, TN
- Lindsay Rebecca Bland
- William Eli Gass
- Susan Elizabeth Kelly
- James F Kresse
- Cassandra Mishurda
- Selena Marilyn Morris
All providers in Mooresburg, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.