Kayla Kennette Tucker Katsadouros, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3935 Issued in TN

Practice address

3601 The Vanderbilt Clinic
Nashville, TN 37232-3541

Phone

(615) 322-5000

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kayla Kennette Tucker Former name

Medicare fee-for-service enrollment

Enrolled in OH, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

82.55 of 100Reported as group

Quality

93.28

Promoting interoperability

100

Improvement activities

40

Cost

48.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkatsadouros904672@direct.vumc.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kayla.tuckerod.p1@direct.eyecare.nextgenshare.com
• Direct secure messaging: ktucker@ecaoh.intellechartdirect.net

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.

• Vanderbilt University Medical Center

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761
  Medicare reassignment NPD
• Eye Care Associates, Inc

  • Ophthalmology Physician
  • Youngstown, OH
  • NPI 1447203088

  Optometrist

  Medicare reassignment NPD
• Eye Care Associates, Inc

  • Optometrist
  • Austintown, OH
  • NPI 1023721297
  NPD
• Eye Care Associates, Inc

  • Ophthalmology Physician
  • Poland, OH
  • NPI 1336192038

  Optometrist

  NPD
• Vanderbilt University

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1285659706
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1245964949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372323541",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dutton Dr",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445021899",
            "country_code": "US",
            "telephone_number": "330-746-7691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4060 N River Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841039",
            "country_code": "US",
            "telephone_number": "330-746-7691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2670 S Raccoon Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445155380",
            "country_code": "US",
            "telephone_number": "330-746-7691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 W Western Reserve Rd",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445143541",
            "country_code": "US",
            "telephone_number": "330-746-7691",
            "fax_number": "330-743-8368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSADOUROS",
        "first_name": "KAYLA",
        "middle_name": "KENNETTE TUCKER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT007092",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "TUCKER",
            "middle_name": "KENNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Kates, MD
• Lauren Kathary
• Kathleen Crews Williams MD.PC
• Kathryn Sherrod
• Tami L Kathryn, MMFT
• Sharon Anne Katuin, D.O.
• Katy Hurst Counseling & Associates, LLC
• Louise Katz, PH.D.
• Matthew Samuel Joseph Katz, MD
• Sophie Elizabeth Katz, M.D.

• Optometrist in Nashville, TN
• Providers in Nashville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.