Kaitlin Weeks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3968 Issued in TN

Practice address

119 White Water Dr
Ocoee, TN 37361-3645

Phone

(423) 299-9435

Fax

(423) 299-9436

NPI assigned

Aug 21, 2018

Last updated

Aug 10, 2020By 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

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Bradley Polk Walk in ClinicGroup PAC ID 0547404931, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333
  Medicare reassignment Care Compare group
• Gastrointestinal Associates of Cleveland, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1316981087
  NPD
• Quality Urgent Care & Wellness PL

  dba Quality Urgent Care & Wellness

  • Urgent Care Clinic/Center
  • Pensacola, FL
  • NPI 1033562913
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  Care Compare affiliation
• Memorial Health Care System Inc.

  dba Memorial Hospital Hixson

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1720568462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WHITE WATER DR",
            "city": "OCOEE",
            "state": "TN",
            "postal_code": "373613645",
            "telephone_number": "423-299-9435",
            "fax_number": "423-299-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WHITE WATER DR",
            "city": "OCOEE",
            "state": "TN",
            "postal_code": "373613645",
            "telephone_number": "423-299-9435",
            "fax_number": "423-299-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "KAITLIN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111458",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Peak, MA CCC-SLP
• Preferred Oxygen LLC
• Samuel Randolph, PHARM.D.
• Jeremy Swallows, DPH
• Dora D. Trivette, RN, APN
• Xplore Recovery - Ocoee River LLC

• Physician Assistant in Ocoee, TN
• Providers in Ocoee, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.