THOMAS GERALD KUSTRA APN NPI 1861080343

NPI Information

NPI: 1861080343
Provider Name: THOMAS GERALD KUSTRA, APN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN
ZIP 37909
Phone: (865) 970-9800
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Thomas Gerald Kustra, APN is a psychiatric/mental health nurse practitioner in Knoxville, TN with 4 years of experience. Thomas Gerald Kustra, APN NPI is 1861080343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN
ZIP 37909-441
Phone: (865) 970-9800

The NPI 1861080343 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2021 and was last updated on 1/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		247954	TENNESSEE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	28758	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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