Individual provider Active NPI

Katrina Aardema, PA-C

  • Physician Assistant
  • Gallatin, TN
National Provider Identifier
1679039010
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3803 Issued in TN
Practice address
1525 Hunt Club Blvd Ste 600a
Gallatin, TN 37066-6070
Phone
(615) 575-1080
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3803 TN Primary

Addresses

Primary practice location

1525 Hunt Club Blvd Ste 600a
Gallatin, TN 37066-6070

Mailing address

1525 Hunt Club Blvd Ste 600a
Gallatin, TN 37066-6070

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3803TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Pediatrics, P.C. Past Accepting new patients
Healthy Kids, LLC Past Accepting new patients
Healthy Kids LLC PastSince Jan 12, 2020 Accepting new patients
Total Family Care and Walk-in Clinic, LLC PastSince Dec 27, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1679039010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 HUNT CLUB BLVD STE 600A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HUNT CLUB BLVD STE 600A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666070",
            "telephone_number": "615-575-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AARDEMA",
        "first_name": "KATRINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.