Provider Demographics
NPI:1346051273
Name:ANDERSON, KRISTI MILLER (PHD, PMHNP)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:MILLER
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHD, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 S GAY ST UNIT 205
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37902-1104
Mailing Address - Country:US
Mailing Address - Phone:225-439-0019
Mailing Address - Fax:
Practice Address - Street 1:403 S GAY ST UNIT 205
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37902-1104
Practice Address - Country:US
Practice Address - Phone:225-439-0019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN249088163WP0808X
TN38055363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health