Individual provider Active NPI

Kristy Leanne Cutshaw, APRN

  • Nurse Practitioner
  • Newport, TN
National Provider Identifier
1992351175
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000026204 Issued in TN
Practice address
121 Newport Towne Ctr
Newport, TN 37821-7391
Phone
(423) 532-8621
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000026204 TN Primary
Nurse Practitioner 363L00000X 0000026204 TN

Addresses

Primary practice location

121 Newport Towne Ctr
Newport, TN 37821-7391

Mailing address

121 Newport Towne Ctr
Newport, TN 37821-7391
Phone (423) 532-8621

Other identifiers 1

IdentifierTypeStateIssuer
Q052689MedicaidTN

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
I20191118000332 TN Practitioner - Nurse Practitioner 9436581246 Reassigns benefits to 3 organizations

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
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-2941
Phone (865) 305-8761

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000026204TNMDNurse Practitioner
APN0000026204TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
Thompson Oncology Group CurrentSince Sep 16, 2019 Accepting new patients
University Health System Inc CurrentSince May 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 11, 2020 Accepting new patients
University Health System, Inc CurrentSince May 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 11, 2020 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

Dept 888078
Knoxville, TN 37995

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

1130 Middle Creek Rd
Ste 160
Sevierville, TN 37862
Phone (865) 428-6505

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1992351175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217391",
            "telephone_number": "423-532-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217391",
            "telephone_number": "423-532-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTSHAW",
        "first_name": "KRISTY",
        "middle_name": "LEANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000026204",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "0000026204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q052689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.