Individual provider Active NPI

Catalina Lettich, PA

  • Medical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1851061501
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4740 Issued in TN
Practice address
4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405
Phone
(865) 647-3260
Fax
(865) 647-3279
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA4740 TN Primary

Addresses

Primary practice location

4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405

Mailing address

4711 Centerline Dr Ste 100
Knoxville, TN 37917-1405
Phone (865) 647-3260

Other names 1

  • Catalina Gutierrez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catalina.gutierrez.1@4694.direct.athenahealth.com

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
I20211001002261 TN Practitioner - Physician Assistant 3971901117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Knoxville, TN 37934-1981

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA4740TNMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: catalina.gutierrez.1@4694.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1851061501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171405",
            "telephone_number": "865-647-3260",
            "fax_number": "865-647-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171405",
            "telephone_number": "865-647-3260",
            "fax_number": "865-647-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTICH",
        "first_name": "CATALINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA4740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catalina.gutierrez.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1612 Choto Markets Way",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379225760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATALINA",
            "last_name": "GUTIERREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.