Individual provider Active NPI

Caitlyn Creasey

  • Family Nurse Practitioner
  • White House, TN
National Provider Identifier
1063119972
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33425 Issued in TN
Practice address
491 Sage Rd N Ste 800
White House, TN 37188-9362
Phone
(615) 672-7122
NPI assigned
Feb 10, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33425 TN Primary
Registered Nurse 163W00000X 237063 TN

Addresses

Primary practice location

491 Sage Rd N Ste 800
White House, TN 37188-9362

Mailing address

2317 Sweetwood Rd
Nashville, TN 37214-2726
Phone (615) 400-4750

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
I20230406000832 TN Practitioner - Nurse Practitioner 8527433416 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

607 Hwy 76
White House, TN 37188-9206
Phone (615) 616-9415

6130 Nolensville Rd
Nashville, TN 37211-6813
Phone (615) 284-1450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237063TNMDRegistered Nurse
33425TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, PLLC CurrentSince Feb 27, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 28, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 28, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Saint Thomas Medical Partners CurrentSince Nov 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

300 20th Ave N
Fl 9
Nashville, TN 37203

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

491 Sage Rd N
Ste 800
White House, TN 37188
Phone (615) 672-4089

607 Highway 76
White House, TN 37188
Phone (615) 616-9415

Interoperability endpoints

  • Direct secure messaging: caitlyn.creasey.1@7654.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1063119972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SWEETWOOD RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142726",
            "telephone_number": "615-400-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 SAGE RD N STE 800",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889362",
            "telephone_number": "615-672-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASEY",
        "first_name": "CAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33425",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "237063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White House, TN

Sources for this page

Verify at the official NPI Registry.