KRISTINA L NEEDHAM (NPI# 1295385300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295385300 |
| Entity Type | Individual |
| Full Name | KRISTINA L NEEDHAM |
| Credential | NP-C |
| Practice Address |
9320 Park West Blvd Knoxville TN 37923-4301 |
| Practice Telephone | 8653737100 |
| Mailing Telephone | 8653737100 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 25499 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
25499 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q052802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801332366 | Kristina Needham | Occupational Therapist | 2650 N Monroe St, Decatur, IL 62526-3251 | 2017-01-09 |
| Street Address |
9320 PARK WEST BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866037 | Michael Fuerst | Nurse Practitioner | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2005-10-26 |
| 1871053736 | Rebecca Goldston Nicholson | Registered Nurse | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2019-03-25 |
| 1942724414 | Amanda D Underwood | Nurse Practitioner | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2017-07-27 |
| 1134591894 | Jadeleize Gormley | Nurse Practitioner | 9320 Park West Blvd, Knoxville, TN 37923 | 2015-10-21 |
| 1720477961 | Aimee Todd | Physician Assistant | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2015-01-12 |
| 1487064283 | Jaime C Holbert | Internal Medicine | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2014-05-01 |
| 1104262096 | Charles Joseph Allderdice | Internal Medicine | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2013-05-17 |
| 1932456621 | Sara Negrotto | Internal Medicine | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2012-08-13 |
| 1881871374 | Ayaz Rahman | Internal Medicine | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2008-01-28 |
| 1528198272 | Ogei Yar | Internal Medicine | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700225133 | Quick Care Clinic | Nurse Practitioner | 9220 Dutchtown Rd Ste 104, Knoxville, TN 37923-2745 | 2013-06-19 |
| 1972767267 | Brian Wayne Mckinley | Nurse Practitioner | 1326 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2008-07-15 |
| 1467674721 | Shelley Lynn Lott | Nurse Practitioner | 10810 Parkside Dr., Suite G15, Knoxville, TN 37934 | 2007-05-03 |
| 1891891081 | Teodora Amalia Neagu | Nurse Practitioner | 10710 Murdock Dr, Ste 103 &104, Knoxville, TN 37932-3257 | 2006-09-15 |
| 1609866037 | Michael Fuerst | Nurse Practitioner | 9320 Park West Blvd, Knoxville, TN 37923-4301 | 2005-10-26 |
| 1871115923 | University Health System Inc | Nurse Practitioner | 1932 Alcoa Hwy Ste 270, Knoxville, TN 37920-1537 | 2020-05-12 |
| 1790315976 | Jennifer Metikosh | Nurse Practitioner | 1924 Alcoa Hwy # U56, Knoxville, TN 37920-1511 | 2020-01-16 |
| 1619460946 | Austin A Hogle | Nurse Practitioner | 1924 Alcoa Hwy # U56, Knoxville, TN 37920 | 2018-06-12 |
| 1619479789 | Frankie C Cate | Nurse Practitioner | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2018-03-05 |
| 1891210738 | Marissa Dawn Monroe | Nurse Practitioner | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2017-08-11 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.