Individual provider Active NPI

Chad Harlin, GNP-BC

  • Gerontology Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1437493277
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
GAA-NP003042 Issued in GA
Practice address
3811 Prospect Church Rd
Ooltewah, TN 37363-8448
Phone
(423) 645-2481
NPI assigned
Nov 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 124027 TN
Gerontology Nurse Practitioner 363LG0600X 33674 TN
Gerontology Nurse Practitioner 363LG0600X GAA-NP003042 GA Primary

Addresses

Primary practice location

3811 Prospect Church Rd
Ooltewah, TN 37363-8448

Mailing address

3811 Prospect Church Rd
Ooltewah, TN 37363-8448
Phone (423) 645-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124027TNMDGerontology Registered Nurse
GAA-NP003042GAMDGerontology Nurse Practitioner
33674TNMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1437493277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 PROSPECT CHURCH RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638448",
            "telephone_number": "423-645-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 PROSPECT CHURCH RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638448",
            "telephone_number": "423-645-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "CHAD",
        "credential": "GNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "TN",
            "license": "124027",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "33674",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "GAA-NP003042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.