Caroline Elisabeth Gates, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000016421 Issued in TN

Practice address

5000 Alpha LN
Hixson, TN 37343-4054

Phone

(423) 870-1662

Fax

(423) 877-4845

NPI assigned

Feb 2, 2012

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, MI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Kaful Double Portion Family Practice, Inc

  • Family Nurse Practitioner
  • Cleveland, TN
  • NPI 1386049476
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• Healthforce Medical Group LLC

  • Adult Medicine Physician
  • Hixson, TN
  • NPI 1942718754
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1699047894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434054",
            "telephone_number": "423-870-1662",
            "fax_number": "423-877-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434054",
            "telephone_number": "423-870-1662",
            "fax_number": "423-877-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "CAROLINE",
        "middle_name": "ELISABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704232189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527191",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4321881",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne M Gallagher, NP
• Johnathan Ledel Gannaway, D.P.T.
• Thomas Derrick Gardner, R,PH
• Alexis Garduno
• Carlos Alberto Garrido
• Elizabeth A Gates, PMHNP-BC, LPC-MHSP
• Lydia Geabou, OD
• Gentle Foot Care Inc
• Jeremy D German, PHARM D
• Devon Ghodasra, M.D.

• Family Nurse Practitioner in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.