Individual provider Active NPI

Kathryn Kyle Daileader, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1770060550
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AC002373 Issued in MD
Practice address
210 Athens Way Ste 200
Nashville, TN 37228-1308
Phone
(833) 633-1290
Fax
(833) 972-1856
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AC002373 MD Primary

Addresses

Primary practice location

210 Athens Way Ste 200
Nashville, TN 37228-1308

Mailing address

210 Athens Way Ste 200
Nashville, TN 37228-1308
Phone (703) 283-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20180920000149 DC Practitioner - Nurse Practitioner 0547511206 Reassigns benefits to 4 organizations
I20221122001662 VA Practitioner - Nurse Practitioner 0547511206 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC002373MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Nephrology of the Midwest, PLLC CurrentSince Mar 30, 2025 Accepting new patients
Nephrology Associates of Northern Virginia, Inc CurrentSince Oct 31, 2022 Accepting new patients
Irmindra S Rana, MD PLC CurrentSince Feb 1, 2024 Accepting new patients
Montgomery Medical Associates, P.C. CurrentSince Aug 24, 2018 Accepting new patients

Locations

10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779

210 Athens Way
Ste 200
Nashville, TN 37228
Phone (833) 633-1290

13135 Route 50
Ste 135
Fairfax, VA 22033
Phone (703) 961-0488

8501 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 876-8445

13135 Route 50
Fairfax, VA 22033
Phone (703) 391-0900

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16272/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathryn.daileader@direct.davitaphysiciansolutions.com
  • Direct secure messaging: kdaileader@montgomerymedical.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005

Organizations & group practices 5

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1770060550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ATHENS WAY STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281308",
            "telephone_number": "703-283-7782",
            "fax_number": "833-972-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ATHENS WAY STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281308",
            "telephone_number": "833-633-1290",
            "fax_number": "833-972-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEADER",
        "first_name": "KATHRYN",
        "middle_name": "KYLE",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AC002373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.