Kiersten Anderson, APRN
Individual provider Active NPI Women's Health Nurse Practitioner · Smyrna, TN
NPI 1942927769 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1942927769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 30545 (TN)
- Practice address
- 301 Wolverine TRL Ste 102
Smyrna, TN 37167-5656 - Phone
- (615) 459-5228
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017049 | KY | MD | Women's Health Nurse Practitioner |
| 30545 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Obstetrics & Gynecology, PC | Current |
Accepting new patients |
Locations
301 Wolverine Trl
Ste 102
Smyrna, TN 37167
Phone (615) 355-4848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 3017049 | KY | |
| Women's Health Nurse Practitioner | 363LW0102X | 30545 | TN | Yes |
Addresses
Primary practice location
301 Wolverine TRL Ste 102
Smyrna, TN 37167-5656
Mailing address
201 Plainfield Way
Bowling Green, KY 42104-7708
Phone (507) 327-8115
Other providers in Smyrna, TN
- Anchorpoint Care Inc
- Dawn Andanar Speer
- Allen Brian Anderson
- Chari Ariel Anderson
- Jade A Anderson
- Mackenzie Anderson
- Michael David Anderson
- Sarah Anderson
- Chipta Mulyana Anerin
- Angel Wings Transport LLC
All providers in Smyrna, TN · Women's Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.