Individual provider Active NPI

Kaitlin M Desrosiers, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1306446133
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26253 Issued in TN
Practice address
1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267
Phone
(865) 544-2800
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26253 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267

Mailing address

1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111002029 TN Practitioner - Neurology 0244643377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Knoxville PCGroup PAC ID 9931172426, 8 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C460
Knoxville, TN 37920-1587
Phone (865) 546-9246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN26253TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Knoxville, PC Nephrology CurrentSince Nov 2, 2020 Accepting new patients

Locations

1932 Alcoa Hwy
Ste 460
Knoxville, TN 37920
Phone (865) 546-9246

1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920
Phone (865) 546-9246

6232 W Andrew Johnson Hwy
Ste 2400
Talbott, TN 37877
Phone (865) 305-5335

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1306446133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202267",
            "telephone_number": "865-544-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202267",
            "telephone_number": "865-544-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "KAITLIN",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.