MRS. KRISTEN MICHELLE SODER FNP-BC NPI 1114233707

NPI Information

  • NPI: 1114233707
  • Provider Name: MRS. KRISTEN MICHELLE SODER, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 GLENWOOD DR STE E680
    CHATTANOOGA, TN
    ZIP 37404
  • Phone: (423) 495-7378

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NPI Details

MRS. Kristen Michelle Soder, FNP-BC is a family nurse practitioner in Chattanooga, TN. MRS. Kristen Michelle Soder, FNP-BC NPI is 1114233707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 GLENWOOD DR STE E680
CHATTANOOGA, TN
ZIP 37404-176
Phone: (423) 495-7378

The NPI 1114233707 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 8/20/2010 and was last updated on 12/9/2020.

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
1163W00000XRegistered Nurse143876TENNESSEENo
2363LF0000XNurse PractitionerFamily15110TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11519729MEDICAIDTENNESSEE

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: 11/21/2025

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