Kayla Rose Judd, APRN
Individual provider Active NPI Primary Care Nurse Practitioner · Jamestown, TN
NPI 1346905072 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1346905072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 29754 (TN)
- Practice address
- 100 S Duncan St
Jamestown, TN 38556-3009 - Phone
- (931) 879-5864
- Fax
- (931) 879-3903
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acute Care Clinics of America, LLC
Practice addresses (Care Compare)
100 S Duncan St
Jamestown, TN 38556-3009
Phone (931) 879-5864
101 S Duncan St
Suite C
Jamestown, TN 38556-3007
Phone (931) 879-5864
Hospital & facility affiliations
- Quality Home Health
- Amedisys Home Health
- Cumberland Medical Center
- University Health System, Inc
- Cookeville Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220215000608 | TN | Practitioner - Nurse Practitioner | 1850784877 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Clinics of America, LLC | Current |
Accepting new patients | |
| Pain Medicine of the South, PLLC | Current |
Accepting new patients | |
| Primary Care of Jamestown, LLC | Current |
Accepting new patients | |
| Scott County Community Hospital, Inc. | Current |
Accepting new patients | |
| Scott County Community Hospital, Inc. | Interventional Pain Medicine | Past | Accepting new patients |
Locations
102 Old Jefferson St
Celina, TN 38551
Phone (931) 243-3576
6845 S York Hwy
Clarkrange, TN 38553
Phone (931) 863-3323
100 S Duncan St
Jamestown, TN 38556
Phone (931) 752-2273
101 S Duncan St
Ste C
Jamestown, TN 38556
110 N Campbell Station Rd
Knoxville, TN 37934
Phone (865) 672-5070
400 W Crawford Ave
Monterey, TN 38574
Phone (931) 839-2224
18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 29754 | TN | |
| Primary Care Nurse Practitioner | 363LP2300X | 29754 | TN | Yes |
Addresses
Primary practice location
100 S Duncan St
Jamestown, TN 38556-3009
Mailing address
PO Box 2861
Crossville, TN 38557-2861
Phone (931) 879-5864
Other practice location 1
102 Old Jefferson St
Celina, TN 38551-4040
Phone (931) 243-3576
Other practice location 2
6845 S York Hwy
Clarkrange, TN 38553-5102
Phone (931) 863-5095
Other practice location 3
400 W Crawford Ave
Monterey, TN 38574-1166
Phone (931) 839-2224
NPI Registry JSON
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1346905072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2861",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385572861",
"telephone_number": "931-879-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S DUNCAN ST",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385563009",
"telephone_number": "931-879-5864",
"fax_number": "931-879-3903"
}
],
"practiceLocations": [
{
"address_1": "102 Old Jefferson St",
"address_purpose": "LOCATION",
"city": "Celina",
"state": "TN",
"postal_code": "385514040",
"country_code": "US",
"telephone_number": "931-243-3576",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6845 S York Hwy",
"address_purpose": "LOCATION",
"city": "Clarkrange",
"state": "TN",
"postal_code": "385535102",
"country_code": "US",
"telephone_number": "931-863-5095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Crawford Ave",
"address_purpose": "LOCATION",
"city": "Monterey",
"state": "TN",
"postal_code": "385741166",
"country_code": "US",
"telephone_number": "931-839-2224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUDD",
"first_name": "KAYLA",
"middle_name": "ROSE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TN",
"license": "29754",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "29754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, TN
- Jamestown TN Medical Center Inc
- Jonathan D. Allred M.D.P.C.
- Sarah Elizabeth Jones
- Valerie D Jones
- Dilip N Joshi
- Alyssa Keyes
- Jennifer P King
- Laboratory Corporation of America Holdings
- Jeffrey C Lawhon
- Connie S. Lee
All providers in Jamestown, TN · Primary Care Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.