Mary Katelyn Pratt, NP-C
Individual provider Active NPI Family Nurse Practitioner · Linden, TN
NPI 1649925058 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1649925058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 31219 (TN)
- Practice address
- 62 Medical Dr Ste a
Linden, TN 37096-3327 - Phone
- (931) 589-2600
- Fax
- (931) 589-2602
- NPI assigned
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20220310000583 | TN | Practitioner - Nurse Practitioner | 1658766613 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31219 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alm & Agm LLC | Current |
Accepting new patients | |
| Walk-in Medical Clinic of Linden PLLC | Past |
Accepting new patients |
Locations
62 Medical Dr
Ste A
Linden, TN 37096
Phone (931) 589-2600
847 Squirrel Hollow Dr
Linden, TN 37096
Phone (931) 589-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31219 | TN | Yes |
Addresses
Primary practice location
62 Medical Dr Ste a
Linden, TN 37096-3327
Mailing address
PO Box 56
Linden, TN 37096-0056
Phone (931) 589-2600
Other providers in Linden, TN
- Perry County Council on Aging
- Perry County Home Health, Inc.
- Perry County Medical Center Inc
- Perry County Medical Center, Inc.
- Keri Prater
- Diana Hufstedler Richardson
- Grady Ross Rowe
- Kelsey Sain
- Celeste Melody Schneider
- Jonathon Alan Shuler
All providers in Linden, TN · Family 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 Jan 23, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.