Individual provider Active NPI

Krystal Sudberry

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1972449544
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41902 Issued in TN
Practice address
5045 Old Hickory Blvd Ste 203
Hermitage, TN 37076-2591
Phone
(615) 933-3633
NPI assigned
Apr 27, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 41902 TN Primary

Addresses

Primary practice location

5045 Old Hickory Blvd Ste 203
Hermitage, TN 37076-2591

Mailing address

1905 Cephas St
Nashville, TN 37208-1436
Phone (615) 504-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5045 Old Hickory Blvd
Suite 203
Hermitage, TN 37076-2581

5045 Old Hickory Blvd
Suite 203
Hermitage, TN 37076-2591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41902TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Family Care- Integrative Medicine PLLC CurrentSince Jun 1, 2026 Accepting new patients
Hopewell Family Care LLC Family CurrentSince Jun 1, 2026 Accepting new patients

Locations

100 Country Club Dr
Ste 207
Hendersonville, TN 37075
Phone (615) 933-3633

5045 Old Hickory Blvd
Ste 203
Hermitage, TN 37076
Phone (615) 669-6399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1972449544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CEPHAS ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081436",
            "telephone_number": "615-504-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 OLD HICKORY BLVD STE 203",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762591",
            "telephone_number": "615-933-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDBERRY",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "41902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.