KRISTIE JACKSON APN NPI 1891765970

NPI Information

  • NPI: 1891765970
  • Provider Name: KRISTIE JACKSON, APN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4230 HARDING PIKE
    SUITE 330
    NASHVILLE, TN
    ZIP 37205
  • Phone: (615) 269-4545

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NPI Details

Kristie Jackson, APN is an acute care nurse practitioner in Nashville, TN with 22 years of experience. Kristie Jackson, APN NPI is 1891765970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

4230 HARDING PIKE
SUITE 330
NASHVILLE, TN
ZIP 37205
Phone: (615) 269-4545
Fax: (615) 565-6789

The NPI 1891765970 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 1/23/2006 and was last updated on 7/10/2018.

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
1363L00000XNurse PractitionerAPN0000010926TENNESSEENo
2363LA2100XNurse PractitionerAcute Care2004003624TENNESSEENo
3363LA2100XNurse PractitionerAcute Care10926TENNESSEEYes

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
1P01167551OTHERTENNESSEERR MEDICARE
26011957OTHERTENNESSEEBCBS
31519858MEDICAIDTENNESSEE

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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