Individual provider Active NPI

Kayla Teives, NP-C

  • Family Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1124565239
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006919A Issued in IN
Practice address
305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758
Phone
(812) 590-7230
NPI assigned
Jan 26, 2017
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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 71006919A IN Primary

Addresses

Primary practice location

305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170303001011 IN Practitioner - Nurse Practitioner 8022392455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

1036 Sharon Dr
Jeffersonville, IN 47130-4522
Phone (812) 280-6606

1060 Sharon Dr
Jeffersonville, IN 47130-4522
Phone (812) 283-7116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006919AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Mar 10, 2020 Accepting new patients
Lifespring, Inc CurrentSince Mar 10, 2020 Accepting new patients
Lifespring, Inc Current Accepting new patients
Lifespring Inc Past Accepting new patients

Locations

480 Eversman Dr
Jasper, IN 47546
Phone (812) 482-3020

480 Eversman Dr
Ste 1
Jasper, IN 47546

404 Spring St
Jeffersonville, IN 47130
Phone (812) 206-1303

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1124565239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291758",
            "telephone_number": "812-590-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIVES",
        "first_name": "KAYLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006919A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.