Individual provider Active NPI

Katie Elizabeth Barnes

  • Family Nurse Practitioner
  • Fairview, TN
National Provider Identifier
1023046794
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000013109 Issued in TN
Practice address
2340 Fairview Blvd
Fairview, TN 37062-9457
Phone
(615) 266-2177
Fax
(615) 266-2331
NPI assigned
Jun 29, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-107391 AL
Family Nurse Practitioner 363LF0000X 0000013109 TN Primary

Addresses

Primary practice location

2340 Fairview Blvd
Fairview, TN 37062-9457

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other practice location 1

200 Creekside Dr
Dickson, TN 37055-2176
Phone (615) 441-6140

Other practice location 2

1800 Medical Center Pkwy Ste 460
Murfreesboro, TN 37129-3181
Phone (615) 239-2062

Other identifiers 3

IdentifierTypeStateIssuer
051532615MedicaidAL
6021020OtherTNBCBS TN
1510741MedicaidTN

Other names 1

  • Katie Feenstra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000862 TN Practitioner - Nurse Practitioner 7618983701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13019TNMDPharmacist
1-107391ALMDNurse Practitioner
0000013109TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Aug 1, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Aug 1, 2022 Accepting new patients
Jefferson Clinic, P.C. Past Accepting new patients

Locations

200 Creekside Dr
Dickson, TN 37055
Phone (615) 441-6140

2340 Fairview Blvd
Ste 600D
Fairview, TN 37062
Phone (615) 266-2177

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1023046794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 FAIRVIEW BLVD",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629457",
            "telephone_number": "615-266-2177",
            "fax_number": "615-266-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Creekside Dr",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552176",
            "country_code": "US",
            "telephone_number": "615-441-6140",
            "fax_number": "615-441-6190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Medical Center Pkwy Ste 460",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293181",
            "country_code": "US",
            "telephone_number": "615-239-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-107391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000013109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051532615",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "6021020",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510741",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FEENSTRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairview, TN

Sources for this page

Verify at the official NPI Registry.