Healthcare Provider Details

I. General information

NPI: 1811527609
Provider Name (Legal Business Name): KRISTIN R MCKAMEY FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2020
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 WESTERN AVE
KNOXVILLE TN
37921-2224
US

IV. Provider business mailing address

5724 WESTERN AVE
KNOXVILLE TN
37921-2224
US

V. Phone/Fax

Practice location:
  • Phone: 865-281-5480
  • Fax:
Mailing address:
  • Phone: 865-281-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number27147
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27147
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number203809
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: