Individual provider Active NPI

Kathryn Leah Childers, APRN

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1194758359
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13549 Issued in TN
Practice address
2151 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone
(931) 245-0500
NPI assigned
Jul 9, 2006
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13549 TN Primary
Family Nurse Practitioner 363LF0000X 039698-23-03 NH
Family Nurse Practitioner 363LF0000X 039698-23 NH
Family Nurse Practitioner 363LF0000X APN0000013549 TN

Addresses

Primary practice location

2151 Wilma Rudolph Blvd
Clarksville, TN 37040

Mailing address

2151 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 245-0500

Other identifiers 1

IdentifierTypeStateIssuer
30343904MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051122000679 NH Practitioner - Nurse Practitioner 3173543972 Reassigns benefits to 3 organizations
I20230131003029 TN Practitioner - Nurse Practitioner 3173543972 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000013549TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 1, 2019 Accepting new patients
Cheshire Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Covenant Family Practice, PC CurrentSince Nov 1, 2022 Accepting new patients
Cheshire Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 1, 2014 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 1, 2014 Accepting new patients
Scoville Osteopathic Healthcare, P.C. PastSince Dec 17, 2010 Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

149 Emerald St
Unit K
Keene, NH 03431
Phone (603) 354-5484

580 Court St
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1000 Highway 76
Clarksville, TN 37043
Phone (931) 245-1150

2151 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 245-0500

236 Uffelman Dr
Clarksville, TN 37043
Phone (931) 647-6305

Interoperability endpoints

  • Direct secure messaging: kscoville149297@direct.dartmouth-hitchcock.org

Organizations & group practices 7

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1194758359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-245-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-245-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "KATHRYN",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13549",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "039698-23-03",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "039698-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30343904",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.