Organization Active NPI

Niteowl Pediatrics, LLC

Doing business as NiteOwl

  • Family Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1871887430
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NITEOWL PEDIATRICS, LLC
Doing business as
NiteOwl
Practice address
9219 Lee Hwy Ste 103
Ooltewah, TN 37363-4440
Phone
(423) 648-6483
Fax
(423) 648-6497
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Amanda Pritchett
Title
Director of Operations
Phone
(423) 648-6483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9219 Lee Hwy Ste 103
Ooltewah, TN 37363-4440

Mailing address

9219 Lee Hwy Ste 103
Ooltewah, TN 37363-4440
Phone (423) 648-6483

Other identifiers 1

IdentifierTypeStateIssuer
Q219417MedicaidTN

Other names 1

  • NiteOwl Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2266569Niteowl Pediatrics9219 Lee Highway, Suite 103, Ooltewah, TN 37363Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

2372 Lifestyle Way
Ste 152
Chattanooga, TN 37421
Phone (423) 648-6483

1021 Executive Dr
Hixson, TN 37343

1021 Executive Dr
Ste 201
Hixson, TN 37343

9219 Lee Hwy
Ooltewah, TN 37363

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1871887430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 LEE HWY STE 103",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634440",
            "telephone_number": "423-648-6483",
            "fax_number": "423-648-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 LEE HWY STE 103",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634440",
            "telephone_number": "423-648-6483",
            "fax_number": "423-648-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITEOWL PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-648-6483"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q219417",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NiteOwl",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.