Individual provider Active NPI

Janella Kristen Killingsworth, DNP, FNP-C, RN, CWCN

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1891516464
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37436 Issued in TN
Practice address
2253 Chambliss Ave NW Ste 101
Cleveland, TN 37311-3861
Phone
(423) 473-7475
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 37436 TN Primary

Addresses

Primary practice location

2253 Chambliss Ave NW Ste 101
Cleveland, TN 37311-3861

Mailing address

2253 Chambliss Ave NW Ste 101
Cleveland, TN 37311-3861
Phone (423) 473-7475

Other names 1

  • Janella Kristen Wilcox Former name

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
I20250130003104 TN Practitioner - Nurse Practitioner 8527597855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians
Advanced Hyperbaric LLCGroup PAC ID 1456888627, 2 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 301
Cleveland, TN 37311-3861
Phone (423) 476-5002

5864 Hwy 153
Hixson, TN 37343-4859
Phone (423) 825-4268

Hospital & facility affiliations

  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Tennessee Home Health Home health agency, Cleveland, TN, CCN 447552
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hyperbaric LLC CurrentSince Jul 17, 2025 Accepting new patients
Bradley Physician Services, LLC Family CurrentSince Dec 1, 2024 Accepting new patients
Fast Access Healthcare CurrentSince Jan 17, 2022 Accepting new patients

Locations

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

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

400 Stuart Rd NE
Ste 1
Cleveland, TN 37312
Phone (423) 303-7966

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

15367 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-9200

5864 Highway 153
Ste 100
Hixson, TN 37343
Phone (423) 486-0010

5741 Highway 153
Ste 117
Hixson, TN 37343
Phone (423) 870-8088

4665 Main St
Ste 2
Jasper, TN 37347
Phone (423) 939-2915

134 Creekside Dr
Ste 1
Ocoee, TN 37361
Phone (423) 299-9491

14821 Dayton Pike
Sale Creek, TN 37373
Phone (423) 486-9455

Organizations & group practices 3

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 3

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1891516464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-473-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-473-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINGSWORTH",
        "first_name": "JANELLA",
        "middle_name": "KRISTEN",
        "credential": "DNP, FNP-C, RN, CWCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLA",
            "last_name": "WILCOX",
            "middle_name": "KRISTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.