Individual provider Active NPI

Katie Lauren Monroe

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1548122872
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40399 Issued in TN
Practice address
4021 Keith St NW
Cleveland, TN 37312-4341
Phone
(423) 476-2464
Fax
(423) 476-2464
NPI assigned
Nov 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 40399 TN Primary

Addresses

Primary practice location

4021 Keith St NW
Cleveland, TN 37312-4341

Mailing address

286 McCrackin Rd SE
Cleveland, TN 37323-8176
Phone (423) 476-2464

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
I20260130001588 TN Practitioner - Nurse Practitioner 6204314339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Centers of East Tennessee, P.C.Group PAC ID 1951485150, 9 clinicians

Practice addresses (Care Compare)

4021 Keith St NW
Cleveland, TN 37312-4341
Phone (423) 476-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of East Tennessee, P.C. CurrentSince Nov 24, 2025 Accepting new patients

Locations

4021 Keith St NW
Cleveland, TN 37312
Phone (423) 476-2464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1548122872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MCCRACKIN RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373238176",
            "telephone_number": "423-476-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124341",
            "telephone_number": "423-476-2464",
            "fax_number": "423-476-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "KATIE",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.