Katelyn Diana Anderson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23934 Issued in TN

Practice address

1720 Gunbarrel Rd Ste 400
Chattanooga, TN 37421-3192

Phone

(423) 497-5359

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Katelyn Diana Anderson Former name

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057

  Family, GA, TN

  Medicare reassignment Care Compare group NPD
• Urgent Care Centers of East Tennessee, P.C.

  • Internal Medicine Physician
  • Cleveland, TN
  • NPI 1316124852

  TN

  Medicare reassignment NPD
• The Allergy & Asthma Group P.C.

  • Allergy & Immunology Physician
  • Chattanooga, TN
  • NPI 1730134180
  NPD (past)
• John W. Looper Jr. Speech & Hearing Clinic

  • Speech-Language Pathologist
  • Dalton, GA
  • NPI 1720098536
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1346734720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL RD STE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213192",
            "telephone_number": "423-497-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Professional Blvd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202506",
            "country_code": "US",
            "telephone_number": "706-217-6950",
            "fax_number": "706-217-6967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crye Leike Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424056",
            "country_code": "US",
            "telephone_number": "706-648-4336",
            "fax_number": "706-861-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATELYN",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23934",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "ANDERSON",
            "middle_name": "DIANA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Anderson
• Crystal Ann Anderson, NP
• David Q Anderson, DPM
• Hope Elizabeth Anderson, MA
• Karena Delyn Anderson
• Kenneth Lee Anderson, FNP-BC
• Lacy Delane Anderson, MACMHC
• Martha Johnson Anderson, MED LPC
• Megan R Anderson
• Micaela Dawn Anderson, RN, IBCLC

• All providers in Chattanooga, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.