Kristen L Prince

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30168 Issued in TN

Practice address

1025 Executive Park Blvd
Kingsport, TN 37660-4620

Phone

(423) 830-8110

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SBH-KingsportGroup PAC ID 8325399256, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• SBH-Kingsport

  dba Creekside Behavioral Health

  • Psychiatric Hospital
  • Kingsport, TN
  • NPI 1174038749
  Medicare reassignment Care Compare group NPD
• Medpsych Inc. PC

  • Specialist
  • Kingsport, TN
  • NPI 1962828137
  Medicare reassignment NPD
• SBH-Kingsport

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1801682299
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1912675570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 OVERLOOK DR",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376175541",
            "telephone_number": "423-571-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EXECUTIVE PARK BLVD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604620",
            "telephone_number": "423-830-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "30168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette Nicole Price, PT
• Jerry Allen Price II, D.C.
• Tracie Price, FNP
• Ryan Prieto, DDS
• Primary Care of Kingsport PLLC
• Landon Prince, CRNA
• Pro Balance LLC
• Pro Balance LLC
• Amy Rollins Probst, LMSW
• Ashley Galloway Proffitt

• Psychiatric/Mental Health Nurse Practitioner in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.