Active NPI
Kaley Nicole Mounce, NP
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1518313626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20992
- Practice address
- 3354 Charger Dr
Chattanooga, TN 37409-1265 - Phone
- (423) 265-6411
- Fax
- (423) 756-4044
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20992 | TN | Primary |
Addresses
Primary practice location
3354 Charger Dr
Chattanooga, TN 37409-1265
Mailing address
4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20992 | TN | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1518313626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4976 ALPHA LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435470",
"telephone_number": "423-308-0280",
"fax_number": "423-308-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3354 CHARGER DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374091265",
"telephone_number": "423-265-6411",
"fax_number": "423-756-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUNCE",
"first_name": "KALEY",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "20992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.