KRISTIE NEICHALL PEGGINS FNP NPI 1417192931

NPI Information

  • NPI: 1417192931
  • Provider Name: KRISTIE NEICHALL PEGGINS, FNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1325 EASTMORELAND AVE
    SUITE 365
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 272-6030

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NPI Details

Kristie Neichall Peggins, FNP is an adult health nurse practitioner in Memphis, TN. Kristie Neichall Peggins, FNP NPI is 1417192931. 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:

1325 EASTMORELAND AVE
SUITE 365
MEMPHIS, TN
ZIP 38104-519
Phone: (901) 272-6030
Fax: (901) 516-8450

The NPI 1417192931 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 12/12/2008 and was last updated on 11/7/2019.

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
1363LF0000XNurse PractitionerFamily14284TENNESSEENo
2363LA2200XNurse PractitionerAdult Health14284TENNESSEEYes

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
11514067MEDICAIDTENNESSEE

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: 3/30/2025

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