Individual provider Active NPI

Katelynn Amanda Philyaw

  • Optometrist
  • Pleasant View, TN
National Provider Identifier
1083404636
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3951 Issued in TN
Practice address
6292 Highway 41a
Pleasant View, TN 37146-8175
Phone
(615) 746-3931
NPI assigned
May 7, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3951 TN Primary

Addresses

Primary practice location

6292 Highway 41a
Pleasant View, TN 37146-8175

Mailing address

626 Meadowview Dr
Mt Juliet, TN 37122-3626
Phone (615) 557-8091

Other names 1

  • Katelynn Amanda Hayzlett 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618003223 TN Practitioner - Optometry 9739690496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph D. Weatherford, PLCGroup PAC ID 3971676909, 2 clinicians

Practice addresses (Care Compare)

6292 Hwy 41a
Pleasant View, TN 37146-8175
Phone (615) 746-3931

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph D. Weatherford, PLC Optometrist CurrentSince Jun 10, 2025 Accepting new patients

Locations

6292 Highway 41A
Pleasant View, TN 37146
Phone (615) 746-3931

Organizations & group practices 1

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1083404636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MEADOWVIEW DR",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223626",
            "telephone_number": "615-557-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6292 HIGHWAY 41A",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371468175",
            "telephone_number": "615-746-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILYAW",
        "first_name": "KATELYNN",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "HAYZLETT",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant View, TN

Sources for this page

Verify at the official NPI Registry.