Individual provider Active NPI

Kathryn Lea Cousins, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1922556679
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21611 Issued in TN
Practice address
9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4564
Phone
(865) 632-5900
NPI assigned
Sep 12, 2016
Last updated
Feb 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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 21611 TN Primary

Addresses

Primary practice location

9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4564

Mailing address

9125 Cross Park Dr
Suite 200
Knoxville, TN 37923-4564
Phone (865) 632-5900

Other identifiers 1

IdentifierTypeStateIssuer
Q023940MedicaidTN

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
I20161109000244 TN Practitioner - Nurse Practitioner 4688953979 Reassigns benefits to 2 organizations
I20240131001145 OH Practitioner - Nurse Practitioner 4688953979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

6100 Rockside Woods Blvd
Suite 425
Independence, OH 44131-2340
Phone (216) 643-2780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21611TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound & Vascular Institute Ohio PLLC CurrentSince Oct 26, 2025 Accepting new patients
Northeast Surgical Wound Care, Inc. CurrentSince Dec 27, 2023 Accepting new patients
East Tennessee Cardiovascular Surgery Group, P.C CurrentSince Sep 12, 2016 Accepting new patients
Signify Health, LLC CurrentSince Dec 12, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (216) 291-1845

6100 Rockside Woods Blvd N
Ste 425
Independence, OH 44131

7148 West Blvd
Youngstown, OH 44512
Phone (330) 530-4038

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

9125 Cross Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 632-5900

9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942

Dept 888101
Knoxville, TN 37995

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kcousins3539121@direct.trinity-health.org

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.

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1922556679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234564",
            "telephone_number": "865-632-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234564",
            "telephone_number": "865-632-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "KATHRYN",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023940",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.