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

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 5

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

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 (8 clinicians)

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 Home health agency · Jamestown, TN · CCN 447406
  • Amedisys Home Health Home health agency · Livingston, TN · CCN 447260
  • Cumberland Medical Center Hospital · Crossville, TN · CCN 440009
  • University Health System, Inc Hospital · Knoxville, TN · CCN 440015
  • Cookeville Regional Medical Center Hospital · Cookeville, TN · CCN 440059

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 IDStateProvider typePAC IDDetails
I20220215000608 TN Practitioner - Nurse Practitioner 1850784877 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Clinics of America, LLC Current
since Mar 25, 2024
Accepting new patients
Pain Medicine of the South, PLLC Current
since Nov 8, 2021
Accepting new patients
Primary Care of Jamestown, LLC Current
since Sep 1, 2025
Accepting new patients
Scott County Community Hospital, Inc. Current
since Sep 1, 2025
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2024.

{
    "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

All providers in Jamestown, TN · Primary Care Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.