Kati Kerr Carley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25745 Issued in TN

Practice address

2022 Chilhowee Medical Park
Maryville, TN 37804-5285

Phone

(865) 268-4360

Fax

(865) 329-6507

NPI assigned

Apr 29, 2019

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Tennessee Addiction SpecialistsGroup PAC ID 6507292067, 7 clinicians

Southland Health Services LLCGroup PAC ID 3577903137, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

• East Tennessee Addiction Specialists

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Maryville, TN
  • NPI 1770080632
  Medicare reassignment Care Compare group NPD
• Southland Health Services, LLC

  • Family Medicine Physician
  • Maryville, TN
  • NPI 1518650001
  Medicare reassignment Care Compare group NPD
• Southern Orthocare Inc

  • Prosthetic/Orthotic Supplier
  • Maryville, TN
  • NPI 1467168047
  NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1427612027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BONNIE VISTA DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045285",
            "telephone_number": "865-268-4360",
            "fax_number": "865-329-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Sherlake Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223473",
            "country_code": "US",
            "telephone_number": "865-268-4360",
            "fax_number": "865-329-6507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1778 Lamar Alexander Patkway",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "37804",
            "country_code": "US",
            "telephone_number": "865-724-2491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "KATI",
        "middle_name": "KERR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059100",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Canterna, CCC-SLP
• Chelsey Nicole Cantwell, PA-C
• Melissa Diann Caraway
• Bonnie Jean Cardwell, COTA
• Amanda Ruth Carey, CRNA
• Clara Carmack, LPC
• Nathaniel Wilson Carmon, RN
• Carole L Long MD PC
• Carroll R. Shanks, D.D.S., P.C.
• Mandee Lynn Carroll, BS

• Family Nurse Practitioner in Maryville, TN
• Providers in Maryville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.