Active NPI
Kayla Danielle Pryor
- Social Worker
- Clarksville, TN
National Provider Identifier
1205502887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1820 Memorial Cir
Clarksville, TN 37043-4539 - Phone
- (931) 436-2125
- Fax
- (931) 920-7205
- NPI assigned
- Aug 23, 2021
- Last updated
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1820 Memorial Cir
Clarksville, TN 37043-4539
Mailing address
1820 Memorial Cir
Clarksville, TN 37043-4539
Phone (931) 436-2125
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1205502887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 MEMORIAL CIR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434539",
"telephone_number": "931-436-2125",
"fax_number": "931-920-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 MEMORIAL CIR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434539",
"telephone_number": "931-436-2125",
"fax_number": "931-920-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "KAYLA",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
- Vincent Michael Proctor, PA-C
- Progressive Directions Inc.
- Proof in Progress ABA LLC
- Harriet Pruitt, M.S., CCC-SLP, CLC
- Jamie Lynn Pruitt, FNP-BC
- Psychiatric Consultants of Tennessee PLLC
- Psychiatry Services of Clarksville PLC
- Publix Tennessee LLC (Publix Pharmacy #1392)
- Publix Tennessee LLC (Publix Pharmacy #1425)
- Publix Tennessee, LLC (Publix Pharmacy #1802)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.