Individual provider Active NPI

Kayla Rose Judd, APRN

  • Primary Care Nurse Practitioner
  • Jamestown, TN
National Provider Identifier
1346905072
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
29754 Issued in TN
Practice address
100 S Duncan St
Jamestown, TN 38556-3009
Phone
(931) 879-5864
Fax
(931) 879-3903
NPI assigned
Nov 8, 2021
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 29754 TN Primary
Interventional Pain Medicine Physician 208VP0014X 29754 TN

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

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: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Clinics of America, LLCGroup PAC ID 6305273392, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29754TNMDInterventional Pain Medicine Physician

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "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": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "29754",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "29754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

Verify at the official NPI Registry.