Individual provider Active NPI

Kristie R Bucher, PA

  • Physician Assistant
  • Smyrna, TN
National Provider Identifier
1942473913
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
478 Issued in TN
Practice address
515 Stonecrest Pkwy Ste 200
Smyrna, TN 37167-6829
Phone
(615) 459-7334
Fax
(615) 459-3938
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 478 TN Primary

Addresses

Primary practice location

515 Stonecrest Pkwy Ste 200
Smyrna, TN 37167-6829

Mailing address

820 Springer Dr
Lombard, IL 60148-6413
Phone (815) 744-8554

Other practice location 1

1725 Medical Center Pkwy
Suite 300
Murfreesboro, TN 37129-2247
Phone (615) 893-4100

Other names 1

  • Kristie R Robinson-Cole Former name

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
I20080619000723 TN Practitioner - Physician Assistant 2668543539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

107 Glidepath Way
Lebanon, TN 37090-4133
Phone (615) 449-5771

515 Stonecrest Pkwy
Suite 200
Smyrna, TN 37167-6829
Phone (615) 459-7334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
478TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Oct 1, 2017 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Oct 1, 2017 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

650 S Mount Juliet Rd
Ste 100
Mt Juliet, TN 37122
Phone (615) 553-2016

1725 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

515 Stonecrest Pkwy
Ste 200
Smyrna, TN 37167
Phone (615) 220-0366

5073 Main St
Ste 140
Spring Hill, TN 37174
Phone (615) 861-4444

Interoperability endpoints

  • Direct secure messaging: kristie.bucher@qdp.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1942473913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPRINGER DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486413",
            "telephone_number": "815-744-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STONECREST PKWY STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676829",
            "telephone_number": "615-459-7334",
            "fax_number": "615-459-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Medical Center Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292247",
            "country_code": "US",
            "telephone_number": "615-893-4100",
            "fax_number": "615-893-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHER",
        "first_name": "KRISTIE",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "ROBINSON-COLE",
            "middle_name": "R",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.