Kaitlin Phillips, LAT, ATC
Individual provider Active NPI Sports Medicine (Neuromusculoskeletal Medicine) Physician · Newport, TN
NPI 1013653641 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1013653641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X
- License
- 0000001617 (TN)
- Practice address
- 435 2ND St
Newport, TN 37821-3703 - Phone
- (865) 607-4910
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001617 | TN | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 0000001617 | TN | Yes |
Addresses
Primary practice location
435 2ND St
Newport, TN 37821-3703
Mailing address
3318 Cosby Hwy
Cosby, TN 37722-2828
Phone (865) 607-4910
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaitlin_phillips@tennova.com |
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- Ruth Ann Poteete
- Haley Powell
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All providers in Newport, TN · Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.