Individual provider Active NPI

Kaitlin Davis Moran, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1912585134
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28983 Issued in TN
Practice address
8034 E Brainerd Rd
Chattanooga, TN 37421-3205
Phone
(423) 894-3836
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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 28983 TN Primary

Addresses

Primary practice location

8034 E Brainerd Rd
Chattanooga, TN 37421-3205

Mailing address

8034 E Brainerd Rd
Chattanooga, TN 37421-3205

Other practice location 1

150 E Swan St
Centerville, TN 37033-1446
Phone (931) 729-3091

Other practice location 2

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-2111

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
I20210512000112 TN Practitioner - Nurse Practitioner 3072922657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

808 S James M Campbell Blvd
Columbia, TN 38401-4338
Phone (931) 381-3872

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28983TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Oct 23, 2023 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 1, 2021 Accepting new patients
Tennessee Oncology PLLC Past Accepting new patients

Locations

808 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 381-3872

808 S James M Campbell Blvd
Ste A
Columbia, TN 38401
Phone (931) 381-3872

3054 Columbia Ave
Franklin, TN 37064
Phone (615) 550-0091

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1912585134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8034 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213205",
            "telephone_number": "423-894-3836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Swan St",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "TN",
            "postal_code": "370331446",
            "country_code": "US",
            "telephone_number": "931-729-3091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 Harding Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052005",
            "country_code": "US",
            "telephone_number": "615-222-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "KAITLIN",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.