Individual provider Active NPI

Kaci Carol Newlin, FNP-BC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1194333849
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN26539 Issued in TN
Practice address
1924 Alcoa Hwy # C460
Knoxville, TN 37920-1511
Phone
(865) 546-9246
Fax
(865) 523-6466
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN26539 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy # C460
Knoxville, TN 37920-1511

Mailing address

1924 Alcoa Hwy # C460
Knoxville, TN 37920-1511
Phone (865) 546-9246

Other practice location 1

1130 Middle Creek Rd Ste 120
Sevierville, TN 37862-3053
Phone (865) 546-9242

Other practice location 2

1851 Crest Rd
Maryville, TN 37804-4304
Phone (865) 546-9246

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
I20201012002238 TN Practitioner - Nurse Practitioner 3173943222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Knoxville PCGroup PAC ID 9931172426, 8 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C460
Knoxville, TN 37920-1587
Phone (865) 546-9246

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN26539TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Knoxville, PC CurrentSince Aug 3, 2020 Accepting new patients

Locations

173 Patty Hill Rd
Caryville, TN 37714
Phone (423) 566-1487

1924 Alcoa Hwy
#C460
Knoxville, TN 37920
Phone (865) 546-9246

1932 Alcoa Hwy
Ste 460
Knoxville, TN 37920
Phone (865) 546-9246

1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920
Phone (865) 546-9246

1851 Crest Rd
Maryville, TN 37804
Phone (865) 546-9246

1130 Middle Creek Rd
Ste 120
Sevierville, TN 37862
Phone (865) 446-3120

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEEGBD/Endpoint/CEEGBD

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 and National Provider Directory roles.

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1194333849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # C460",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-546-9246",
            "fax_number": "865-523-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # C460",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-546-9246",
            "fax_number": "865-523-6466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Middle Creek Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378623053",
            "country_code": "US",
            "telephone_number": "865-546-9242",
            "fax_number": "865-523-6466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 Crest Rd",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378044304",
            "country_code": "US",
            "telephone_number": "865-546-9246",
            "fax_number": "865-523-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWLIN",
        "first_name": "KACI",
        "middle_name": "CAROL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN26539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.