Individual provider Active NPI

Katelyn Wetherington, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1558829648
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25507 Issued in TN
Practice address
104 W Summit Hill Dr
Knoxville, TN 37902-1025
Phone
(865) 247-5057
NPI assigned
Mar 7, 2019
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 25507 TN Primary

Addresses

Primary practice location

104 W Summit Hill Dr
Knoxville, TN 37902-1025

Mailing address

1701 Francis Rd Unit a
Knoxville, TN 37909-5007
Phone (614) 551-9319

Other identifiers 2

IdentifierTypeStateIssuer
F01191323OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
25507OtherTNTENNESSEE STATE BOARD OF NURSING

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25507TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1558829648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FRANCIS RD UNIT A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379095007",
            "telephone_number": "614-551-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W SUMMIT HILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379021025",
            "telephone_number": "865-247-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERINGTON",
        "first_name": "KATELYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F01191323",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE STATE BOARD OF NURSING",
            "identifier": "25507",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.