Kristin Marie Gipson, PNP
Nurse Practitioner, Pediatrics in Knoxville, TN. Individual provider (NPI-1).
NPI number1164072559
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1164072559
- Entity type
- Individual (NPI-1)
- Name
- Kristin Marie Gipson
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2019
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | APN26433 | TN | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | RN223411 | TN |
Practice location
1930 Alcoa Hwy Ste 145Knoxville, TN 37920-1546
Phone 865-305-9749
Mailing address
8943 Wavetree DrKnoxville, TN 37931-1450
Phone 817-807-6928
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 89 Pediatric Nurse Practitioner providers in Knoxville · All 17,212 providers in Knoxville
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