Individual provider Active NPI

Kathryn Orten, PA-C

  • Physician Assistant
  • Dayton, TN
National Provider Identifier
1801565387
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4730 Issued in TN
Practice address
188 16TH Ave Ste 107
Dayton, TN 37321-1037
Phone
(931) 249-3968
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 4730 TN Primary

Addresses

Primary practice location

188 16TH Ave Ste 107
Dayton, TN 37321-1037

Mailing address

188 16TH Ave Ste 107
Dayton, TN 37321-1037
Phone (423) 775-6933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20210914001802 TN Practitioner - Physician Assistant 3971909169 Reassigns benefits to 4 organizations
I20231016001866 GA Practitioner - Physician Assistant 3971909169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4730TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neelam Patel MD Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

276 Warfield Blvd
Clarksville, TN 37043
Phone (931) 302-2184

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1801565387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 16TH AVE STE 107",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211037",
            "telephone_number": "423-775-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 16TH AVE STE 107",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211037",
            "telephone_number": "931-249-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEN",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TN

Sources for this page

Verify at the official NPI Registry.