Individual provider Active NPI

Kammie Lynn Throckmorton, FNP

  • Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1891334645
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000019337 Issued in TN
Practice address
101 White Oak CT
Hendersonville, TN 37075-3081
Phone
(629) 200-9258
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APN0000019337 TN Primary

Addresses

Primary practice location

101 White Oak CT
Hendersonville, TN 37075-3081

Mailing address

101 White Oak CT
Hendersonville, TN 37075-3081
Phone (629) 200-9258

Other practice location 1

301 21st Ave N Ste 100
Nashville, TN 37203-1821
Phone (615) 329-5144

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
I20241230002612 TN Practitioner - Nurse Practitioner 6305373598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000019337TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Multi-Specialty CurrentSince Sep 29, 2024 Accepting new patients
Essen Medical Urgicare, PLLC Multi-Specialty Past Accepting new patients

Locations

301 21st Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-5144

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

301 21st Ave N
#100
Nashville, TN 37203
Phone (615) 329-5144

301 21st Ave N
Nashville, TN 37203
Phone (615) 329-5144

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1891334645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WHITE OAK CT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753081",
            "telephone_number": "629-200-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WHITE OAK CT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753081",
            "telephone_number": "629-200-9258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 21st Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031821",
            "country_code": "US",
            "telephone_number": "615-329-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THROCKMORTON",
        "first_name": "KAMMIE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000019337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.