Individual provider Active NPI

Katy Lynn Garner, CRNP

  • Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1821330424
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1108996 Issued in AL
Practice address
1119 E College St
Suite 1
Pulaski, TN 38478
Phone
(931) 207-8630
Fax
(931) 207-8629
NPI assigned
Mar 21, 2013
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1108996 AL Primary

Addresses

Primary practice location

1119 E College St
Suite 1
Pulaski, TN 38478

Mailing address

201 Stone Ridge Rd
Lexington, AL 35648-3982
Phone (256) 272-8066

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210408002178 TN Practitioner - Nurse Practitioner 2961596317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1108996ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Internal Medicine of Giles County CurrentSince Apr 9, 2021 Accepting new patients

Locations

1119 E College St
Ste 1
Pulaski, TN 38478
Phone (931) 207-8630

Organizations & group practices 2

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1821330424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STONE RIDGE RD",
            "city": "LEXINGTON",
            "state": "AL",
            "postal_code": "356483982",
            "telephone_number": "256-272-8066",
            "fax_number": "256-272-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E COLLEGE ST",
            "address_2": "SUITE 1",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "931-207-8630",
            "fax_number": "931-207-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "KATY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1108996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.