Individual provider Active NPI

Kaitlyn Elizabeth Jaynes, NP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1841883105
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28857 Issued in TN
Practice address
400 N State of Franklin Rd RM 2746
Johnson City, TN 37604-6035
Phone
(423) 323-6900
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28857 TN Primary

Addresses

Primary practice location

400 N State of Franklin Rd RM 2746
Johnson City, TN 37604-6035

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2202 N John B Dennis Hwy Ste 110
Kingsport, TN 37660-5904
Phone (423) 578-8400

Other practice location 2

1 Medical Park Blvd Ste 210E
Bristol, TN 37620-7468
Phone (423) 844-1121

Other practice location 3

3 Professional Park Dr Ste 31
Johnson City, TN 37604-6529
Phone (423) 232-6900

Other practice location 4

358 Opie Arnold Rd
Limestone, TN 37681-2525
Phone (865) 748-3038

Other practice location 5

410 N State Of Franklin Rd Ste 130A
Johnson City, TN 37604-6972
Phone (423) 431-2477

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
I20210603001731 TN Practitioner - Nurse Practitioner 8325447808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WPS Providers IncGroup PAC ID 7719079532, 83 clinicians

Practice addresses (Care Compare)

3 Professional Park Dr
Suite 31
Johnson City, TN 37604-6529
Phone (423) 434-3570

Hospital & facility affiliations

  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Sycamore Shoals Hospital Hospital, Elizabethton, TN, CCN 440018
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28857TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Health System Current Accepting new patients
WPS Providers Inc CurrentSince May 5, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 4, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 4, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates Inc PastSince May 5, 2024 Accepting new patients

Locations

1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

410 N State of Franklin Rd
Ste 130A
Johnson City, TN 37604
Phone (423) 431-2460

3 Professional Park Dr
Ste 31
Johnson City, TN 37604
Phone (423) 232-6900

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2202 N John B Dennis Hwy
Ste 110
Kingsport, TN 37660
Phone (423) 578-8400

Interoperability endpoints

  • Direct secure messaging: kjaynes194762@balladhealth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1841883105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE OF FRANKLIN RD RM 2746",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046035",
            "telephone_number": "423-323-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 N John B Dennis Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605904",
            "country_code": "US",
            "telephone_number": "423-578-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd Ste 210E",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207468",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Professional Park Dr Ste 31",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046529",
            "country_code": "US",
            "telephone_number": "423-232-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 Opie Arnold Rd",
            "address_purpose": "LOCATION",
            "city": "Limestone",
            "state": "TN",
            "postal_code": "376812525",
            "country_code": "US",
            "telephone_number": "865-748-3038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N State Of Franklin Rd Ste 130A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046972",
            "country_code": "US",
            "telephone_number": "423-431-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.