Active NPI
Karrie L Davis, NP
- Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1205800398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 07470
- Practice address
- 251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2739 - Phone
- (423) 826-8000
- Fax
- (423) 702-7915
- NPI assigned
- Feb 15, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 07470 | TN | Primary |
Addresses
Primary practice location
251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2739
Mailing address
2300 E 3Rd St Ste B
Chattanooga, TN 37404-2700
Phone (423) 702-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3908015 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07470 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians Inc | Past | Accepting new patients | |
| Galen Medical Group, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Hixson, TN
- NPI 1346250057
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1770575490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1205800398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 E 3RD ST STE B",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042700",
"telephone_number": "423-702-7900",
"fax_number": "423-702-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N LYERLY ST",
"address_2": "SUITE 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042739",
"telephone_number": "423-826-8000",
"fax_number": "423-702-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KARRIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "07470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3908015",
"state": "TN"
}
],
"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 May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.