Individual provider Active NPI

Kristen Davis Price, PA-C

  • Surgical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1871917989
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2493 Issued in TN
Practice address
1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266
Phone
(865) 305-6955
Fax
(865) 305-8238
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2493 TN
Surgical Physician Assistant 363AS0400X 2493 TN Primary
Physician Assistant 363A00000X 15-02937 KS

Addresses

Primary practice location

1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266

Mailing address

1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266
Phone (865) 305-6955

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 2

830 SW Mulvane St
Topeka, KS 66606-1654
Phone (785) 270-8625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 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
I20140613000907 TN Practitioner - Physician Assistant 9436373446 Reassigns benefits to 1 organization
I20241220001393 OH Practitioner - Physician Assistant 9436373446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722

1 Wyoming St
Berry Women'S Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

30 E Apple St
Dayton, OH 45409-2939

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2493TNMDSchool Psychologist
15-02937KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince May 14, 2014 Accepting new patients
University Health System, Inc CurrentSince May 14, 2014 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 20, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 20, 2025 Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Interoperability endpoints

  • Direct secure messaging: kprice148597@stormontvaildirect.org

Organizations & group practices 6

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": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1871917989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E260",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202266",
            "telephone_number": "865-305-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E260",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202266",
            "telephone_number": "865-305-6955",
            "fax_number": "865-305-8238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 SW Mulvane St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061654",
            "country_code": "US",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KRISTEN",
        "middle_name": "DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2493",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2493",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.