Individual provider Active NPI

Caitlin Alyse Kerley, NP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1114458619
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22373 Issued in TN
Practice address
1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone
(423) 756-6623
Fax
(423) 648-8084
NPI assigned
Mar 26, 2017
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22373 TN Primary

Addresses

Primary practice location

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127

Mailing address

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone (423) 756-6623

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CAITLIN.KERLEY@hca1.eclinicaldirectplus.com

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
I20170703001059 TN Practitioner - Nurse Practitioner 4789953910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

Practice addresses (Care Compare)

1736 Gunbarrel Rd
Chattanooga, TN 37421-3127
Phone (423) 756-6623

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Diagnostic Associates LLC CurrentSince Jun 5, 2017 Accepting new patients

Locations

1736 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 756-6623

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

Interoperability endpoints

  • Direct secure messaging: caitlin.engdahl@hca1.eclinicaldirectplus.com
  • Direct secure messaging: caitlin.kerley@hca1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1114458619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623",
            "fax_number": "423-648-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213127",
            "telephone_number": "423-756-6623",
            "fax_number": "423-648-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLEY",
        "first_name": "CAITLIN",
        "middle_name": "ALYSE",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CAITLIN.KERLEY@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1736 Gunbarrel Rd",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374213127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.