Kayla Baggett
Individual provider Active NPI Nurse Practitioner · Union City, TN
NPI 1619503463 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1619503463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 27387 (TN)
- Practice address
- 1201 Bishop St
Union City, TN 38261-5403 - Phone
- (731) 885-2410
- Fax
- (731) 884-8692
- NPI assigned
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLC
Practice addresses (Care Compare)
1201 Bishop St
Union City, TN 38261-5403
Phone (901) 885-2410
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709001241 | TN | Practitioner - Nurse Practitioner | 3375966369 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Coverage Services, PC | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Coverage, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Pediatric Place of Union City LLC | Past | Accepting new patients |
Locations
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- keason62840@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nurse Practitioner | 363L00000X | 27387 | TN | Yes |
Addresses
Primary practice location
1201 Bishop St
Union City, TN 38261-5403
Mailing address
1229 Ethridge LN
Union City, TN 38261-5822
Phone (731) 446-1270
Other providers in Union City, TN
- Robert Alejo Armada
- Amanda Armstrong
- Mark Armstrong
- Leslie A Ary
- Gina Leanne Atkins
- Anita Lynn Baker-Ross
- Baptist Memorial Homecare-Union City
- Baptist Memorial Hospital- Union City Inc
- Baptist Memorial Hospital- Union City Inc
- Baptist Memorial Hospital-Union City Inc
All providers in Union City, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.