Individual provider Active NPI

Catherine Haynes Kingery, NP

  • Women's Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1851512818
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0000012642 Issued in TN
Practice address
1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920-1502
Phone
(865) 305-9799
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0000012642 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920-1502

Mailing address

PO Box 440420
Nashville, TN 37244-0420
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3341319MedicaidTN

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
I20071015000032 TN Practitioner - Nurse Practitioner 3577659051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Suite G15
Knoxville, TN 37934-1921
Phone (865) 288-7300

121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12642TNMDMassage Therapist
0000012642TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Dec 18, 2006 Accepting new patients
University Health System, Inc CurrentSince Dec 18, 2006 Accepting new patients
Fields Center for Womens Health & Robotic Surgery PLLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

10810 Parkside Dr
Ste G15
Knoxville, TN 37934
Phone (865) 218-6222

1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920
Phone (615) 637-6392

Interoperability endpoints

  • Direct secure messaging: catherine.kingery.1@18120.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18120/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1851512818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440420",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440420",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "STE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201502",
            "telephone_number": "865-305-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGERY",
        "first_name": "CATHERINE",
        "middle_name": "HAYNES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "0000012642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341319",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.