Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyndall Leigh Petry

Individual provider Family Nurse Practitioner · NPI 1134875842

Kyndall Leigh Petry is a Nurse Practitioner in Fairview, Tennessee. Qualified in 2021, 5 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

2340 Fairview Blvd Ste 600D
Fairview, TN 37062-9457
Phone: (615) 266-2177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Creekside Dr, Dickson, TN 37055-2176 — (615) 441-6140
  • 1800 Medical Center Pkwy Ste 460, Murfreesboro, TN 37129-3181 — (615) 239-2062

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 31078 (TN)

Record details

NPI number1134875842
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address3024 Business Park Cir, Goodlettsville, TN 37072-3132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairview