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

Mrs. Kristina Ann Roark, NP-C

Individual provider Family Nurse Practitioner · NPI 1235438144

Mrs. Kristina Ann Roark, NP-C is a Nurse Practitioner in Blountville, Tennessee. Qualified in 2010, 16 years ago. Practices with Fast Pace Kentucky, PLLC, a 216-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
16
Licensed in
KY, TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1913 Highway 394
Blountville, TN 37617-5349
Phone: (423) 662-7002
Fax: (423) 662-7003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 81 Ball Park Rd, Harlan, KY 40831-1701 — (606) 573-7322

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22679 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3006867 (KY)

Record details

NPI number1235438144
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 17, 2011
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fast Pace Kentucky, Pllc — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Blountville