Individual provider Active NPI

Cady Kington Cavalea, CPNP-AC/PC, CLC

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1205289444
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
21432 Issued in TN
Practice address
2100 Clinch Ave Ste 410
Knoxville, TN 37916-2287
Phone
(865) 521-6005
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 21432 TN Primary

Addresses

Primary practice location

2100 Clinch Ave Ste 410
Knoxville, TN 37916-2287

Mailing address

2100 Clinch Ave Ste 410
Knoxville, TN 37916-2287
Phone (865) 521-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202023LAMDAnatomic Pathology & Clinical Pathology Physician
21432TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Center of East Tennessee PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1205289444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162287",
            "telephone_number": "865-521-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162287",
            "telephone_number": "865-521-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALEA",
        "first_name": "CADY",
        "middle_name": "KINGTON",
        "name_prefix": "Mrs.",
        "credential": "CPNP-AC/PC, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "21432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.