Individual provider Active NPI

Kristine Joan Dyer, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1891944765
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000013540 Issued in TN
Practice address
10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone
(865) 392-3400
Fax
(865) 392-3449
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000013540 TN Primary

Addresses

Primary practice location

10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922

Mailing address

10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone (865) 392-3400

Other practice location 1

1 Veterans Way
Knoxville, TN 37931-3161
Phone (865) 316-3375

Other identifiers 1

IdentifierTypeStateIssuer
1512807MedicaidTN

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
I20090106000719 TN Practitioner - Nurse Practitioner 1557424231 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Knoxville Hma Cardiology PPM, LLCGroup PAC ID 1658542758, 42 clinicians

Practice addresses (Care Compare)

1 Veterans Way
Knoxville, TN 37931-3161
Phone (865) 862-8100

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 392-3400

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000013540TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC CurrentSince Mar 1, 2019 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jan 25, 2023 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Jan 1, 2021 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jan 1, 2021 Accepting new patients
Knoxville Hma Cardiology PPM, LLC CurrentSince Feb 1, 2025 Accepting new patients
Theoria Medical CurrentSince Sep 30, 2024 Accepting new patients
Havely Springs Physician Services, PC CurrentSince Aug 15, 2023 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jan 25, 2023 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jun 2, 2025 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jan 1, 2016 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000

10800 Parkside Dr
Ste 331
Knoxville, TN 37934
Phone (865) 392-3400

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

10810 Parkside Dr
Ste 301
Knoxville, TN 37934
Phone (865) 470-2273

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

5081 Easley Ave
Millington, TN 38053
Phone (901) 873-3290

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 11

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 4

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1891944765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR STE 331",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-392-3400",
            "fax_number": "865-392-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR STE 331",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-392-3400",
            "fax_number": "865-392-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Veterans Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379313161",
            "country_code": "US",
            "telephone_number": "865-316-3375",
            "fax_number": "865-316-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "KRISTINE",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000013540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512807",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.