Kristin Kathleen Stewart, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

21943 Issued in TN

Practice address

8316 Macon Ter Ste 103
Cordova, TN 38018-8505

Phone

(901) 791-2892

Fax

(901) 791-4872

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stewart Psychiatric Associates

  • Psychiatric/Mental Health Registered Nurse
  • Cordova, TN
  • NPI 1528555182
  Medicare reassignment NPD Authorized official
• Case Management Inc

  • Case Management Agency
  • Memphis, TN
  • NPI 1326116476
  Medicare reassignment NPD
• Psycare LLC

  • Psychologist
  • Memphis, TN
  • NPI 1851870778
  NPD
• Your Community Health & Wellness

  • Multi-Specialty Clinic/Center
  • Memphis, TN
  • NPI 1154793727
  NPD
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1982154936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-791-2892",
            "fax_number": "901-791-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-791-2892",
            "fax_number": "901-791-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KRISTIN",
        "middle_name": "KATHLEEN",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-03-04",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "21943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025599",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart Psychiatric Associates
• Alec Stewart, PHARMD
• Bobby Jean Stewart, MSN, FNP-BC
• Jason Casey Stewart, FNP
• Joshua Demarco Stewart
• Stewarts Essential Transportation
• Still Waters Home Health Agency LLC
• Gary Nicholas Stillwell, DDS
• Wendy Bounds Stinson, PHD, RD
• William David Stinson, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.