Kathryn Flagler, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000001813 Issued in TN

Practice address

294 Gamble Ave
Maryville, TN 37801-4943

Phone

(865) 681-9823

Fax

(865) 681-9823

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Lifeline Center, PLLC

  • Health Service Psychologist
  • Maryville, TN
  • NPI 1154509958
  NPD (past)
• Lifeline Counseling Center PLLC

  • Professional Counselor
  • Maryville, TN
  • NPI 1508168188
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073728846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 GAMBLE AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014943",
            "telephone_number": "865-681-9823",
            "fax_number": "865-681-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 GAMBLE AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014943",
            "telephone_number": "865-681-9823",
            "fax_number": "865-681-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGLER",
        "first_name": "KATHRYN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Rose Filla, DC
• First Choice Home Medical Supply, LLC
• Fish Physical Therapy, LLC
• Michaela Fish, PHARMD
• Callie Michele Fishel I, RDH, OM
• Eden Flanders
• Katasha Rae Flatt
• Katherine Ellen Fleming
• Candace Dawn Fletcher, PHARMD
• Cheryl Ann Flowers, MSSW

• Clinical Psychologist in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.