Individual provider Active NPI

Kendra Norris, FNP

  • Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1871900852
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18924 Issued in TN
Practice address
1503 S Main St
Crossville, TN 38555-5967
Phone
(931) 848-6196
Fax
(931) 456-1047
NPI assigned
Jul 22, 2014
Last updated
Apr 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18924 TN Primary

Addresses

Primary practice location

1503 S Main St
Crossville, TN 38555-5967

Mailing address

1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 528-7531

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
I20140902002005 TN Practitioner - Nurse Practitioner 3476771536 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2018 Accepting new patients
Allergy Associates, P.a. Past Accepting new patients
State of Tennessee Past Accepting new patients
Saint Francis Medical Center Nurse Practitioner Past Accepting new patients

Locations

665 N Main St
Crossville, TN 38555
Phone (931) 337-0510

600 N Jackson St
Tullahoma, TN 37388
Phone (931) 563-5469

Interoperability endpoints

  • Direct secure messaging: kendra.norris@393409484357636.direct.elationemr.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, 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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1871900852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-528-7531",
            "fax_number": "931-646-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555967",
            "telephone_number": "931-848-6196",
            "fax_number": "931-456-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "KENDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "18924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.