Individual provider Active NPI

Kendra Lauren O'Quinn, DNP, RN, FNP-BC

  • Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1962028043
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27546 Issued in TN
Practice address
240 Medical Park Blvd Ste 2500
Bristol, TN 37620-7347
Phone
(423) 689-3004
Fax
(844) 309-6361
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27546 TN Primary

Addresses

Primary practice location

240 Medical Park Blvd Ste 2500
Bristol, TN 37620-7347

Mailing address

240 Medical Park Blvd
Bristol, TN 37620-7346
Phone (423) 689-3020

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
I20200811002663 TN Practitioner - Nurse Practitioner 5597181313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookwell Health LLCGroup PAC ID 4981033032, 14 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Kingsport, TN 37660-3365
Phone (866) 589-0003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwell Health LLC Nurse Practitioner CurrentSince Nov 28, 2022 Accepting new patients
Brookwell Health LLC PastSince Jun 29, 2025 Accepting new patients

Locations

190D Saundersville Rd
Ste 4003
Hendersonville, TN 37075
Phone (866) 589-0003

709 Med Tech Pkwy
Ste 210
Johnson City, TN 37604
Phone (423) 427-2940

105 W Stone Dr
Kingsport, TN 37660
Phone (423) 307-5757

105 W Stone Dr
Ste 1B
Kingsport, TN 37660
Phone (423) 224-3555

9314 Park West Blvd
Ste 102
Knoxville, TN 37923
Phone (423) 307-5757

2829 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 307-5757

1414 Franklin Rd SW
Ste 1
Roanoke, VA 24016
Phone (866) 589-0003

Organizations & group practices 2

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1962028043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207346",
            "telephone_number": "423-689-3020",
            "fax_number": "844-309-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEDICAL PARK BLVD STE 2500",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207347",
            "telephone_number": "423-689-3004",
            "fax_number": "844-309-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "KENDRA",
        "middle_name": "LAUREN",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.