Kaitlynn Hafeli

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6063 Issued in TN

Practice address

3901 Central Pike Ste 351
Hermitage, TN 37076-3422

Phone

(615) 889-8802

Fax

(615) 889-0583

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlynn Guard Former name

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Aspire Audiology & Hearing, LP

  • Audiologist
  • Madison, TN
  • NPI 1033779715
  NPD (past)

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1861258899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE STE 351",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763422",
            "telephone_number": "615-889-8802",
            "fax_number": "615-889-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Springhouse Ct Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370751610",
            "country_code": "US",
            "telephone_number": "615-889-8802",
            "fax_number": "615-889-0583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 S Hartmann Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904137",
            "country_code": "US",
            "telephone_number": "615-889-8802",
            "fax_number": "615-889-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFELI",
        "first_name": "KAITLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYNN",
            "last_name": "GUARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Group Effort Inc.
• Krista Gutierrez
• Donna Mae Haas, MED MENTAL HEALTH CO
• Bryan Hack, DPT
• Jameslynn Wayne Haefele
• Daniel Hagaman, MD
• Amir Hakim
• Arman M Hakimian, M.D.
• Rhonda T Halcomb, M.D.
• Jayda Haley, CNM/WHNP

• Physician Assistant in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.