Individual provider Active NPI

Caitlin O'Leary Elliott, FNP-C

  • Family Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1124688676
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25719 Issued in TN
Practice address
463 W Sam Ridley Pkwy
Smyrna, TN 37167-5626
Phone
(615) 768-4258
Fax
(615) 768-4259
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 25719 TN Primary

Addresses

Primary practice location

463 W Sam Ridley Pkwy
Smyrna, TN 37167-5626

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other identifiers 4

IdentifierTypeStateIssuer
25719OtherTNADVANCED PRACTICE REGISTERED NURSE
3017373OtherKYADVANCED PRACTICE REGISTERED NURSE
179862OtherTNREGISTERED NURSE
F02190835OtherAANP CERTIFICATION

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
I20190826002356 TN Practitioner - Nurse Practitioner 0749518991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

1010 Glenbrook Way
Hendersonville, TN 37075-1230
Phone (615) 590-1018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25719TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jul 1, 2019 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince May 10, 2021 Accepting new patients

Locations

1642 Westgate Cir
Ste 202
Brentwood, TN 37027
Phone (615) 838-3845

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1010 Glenbrook Way
Hendersonville, TN 37075
Phone (615) 590-1018

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

463 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 355-6620

Interoperability endpoints

  • Direct secure messaging: caitlin.elliott@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1124688676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 W SAM RIDLEY PKWY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675626",
            "telephone_number": "615-768-4258",
            "fax_number": "615-768-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CAITLIN",
        "middle_name": "O'LEARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "25719",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "3017373",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "179862",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F02190835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.