Individual provider Active NPI

Kate E Estella-Walter, ANP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1639347180
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13170 Issued in TN
Practice address
7000 Lee Hwy
Suite 600
Chattanooga, TN 37421-1799
Phone
(423) 894-0432
Fax
(423) 894-0475
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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 13170 TN Primary

Addresses

Primary practice location

7000 Lee Hwy
Suite 600
Chattanooga, TN 37421-1799

Mailing address

7000 Lee Hwy
Suite 600
Chattanooga, TN 37421-1799
Phone (423) 894-0432

Other identifiers 2

IdentifierTypeStateIssuer
P01346126OtherTNRAILROAD MEDICARE
3341642MedicaidTN

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
I20080403000100 TN Practitioner - Nurse Practitioner 0749367522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13170TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 12, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 12, 2022 Accepting new patients
Memorial Health Partners Foundation, Inc Past Accepting new patients
J & a Enterprises Inc Past Accepting new patients
Lifespan Family Care, LLC PastSince Dec 21, 2010 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

6309 Highway 58
Harrison, TN 37341
Phone (423) 352-9154

910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304

Interoperability endpoints

  • Direct secure messaging: kate.walter@2860.securemail.prognocis.com

Organizations & group practices 7

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1639347180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 LEE HWY",
            "address_2": "SUITE 600",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211799",
            "telephone_number": "423-894-0432",
            "fax_number": "423-894-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 LEE HWY",
            "address_2": "SUITE 600",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211799",
            "telephone_number": "423-894-0432",
            "fax_number": "423-894-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLA-WALTER",
        "first_name": "KATE",
        "middle_name": "E",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01346126",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341642",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.