Individual provider Active NPI

Casey Baxter-Wilms

  • Primary Care Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1205558541
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
32592 Issued in TN
Practice address
620 E 11TH St
Chattanooga, TN 37403-3101
Phone
(423) 481-9760
Fax
(423) 770-9081
NPI assigned
Sep 14, 2022
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 32592 TN Primary
Adult Health Clinical Nurse Specialist 364SA2200X 32592 TN

Addresses

Primary practice location

620 E 11TH St
Chattanooga, TN 37403-3101

Mailing address

1908 Oak St
Chattanooga, TN 37404-2632
Phone (513) 255-5959

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
32592TNMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: casey.baxter-wilms@488678167609348.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1205558541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 OAK ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042632",
            "telephone_number": "513-255-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 11TH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033101",
            "telephone_number": "423-481-9760",
            "fax_number": "423-770-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER-WILMS",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "32592",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "32592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.