Individual provider Active NPI

Kari Anne Williams, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1467418095
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
126960 Issued in TN
Practice address
2415 Chambliss Ave NW
Cleveland, TN 37311-3882
Phone
(423) 559-2800
Fax
(423) 559-0532
NPI assigned
Apr 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 126960 TN Primary

Addresses

Primary practice location

2415 Chambliss Ave NW
Cleveland, TN 37311-3882

Mailing address

890 Bell Rd SE
Cleveland, TN 37323-9049
Phone (901) 482-8193

Other names 1

  • Kari Anne Graves Former name

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
I20040928000822 TN Practitioner - Nurse Practitioner 8820067754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates of Cleveland, PCGroup PAC ID 3971501784, 7 clinicians

Practice addresses (Care Compare)

2415 Chambliss Nwave
Cleveland, TN 37311-3882
Phone (423) 559-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
126960TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates of Cleveland, PC CurrentSince Jul 9, 2018 Accepting new patients

Locations

2415 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 472-5401

119 White Water Dr
Ocoee, TN 37361
Phone (423) 299-9435

Organizations & group practices 1

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 2

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1467418095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BELL RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373239049",
            "telephone_number": "901-482-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113882",
            "telephone_number": "423-559-2800",
            "fax_number": "423-559-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KARI",
        "middle_name": "ANNE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "126960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "GRAVES",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.