Individual provider Active NPI

Kalie Faulkner, FNP-BC

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1922559095
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21815 Issued in TN
Practice address
139 Maple Row Blvd Ste 100
Hendersonville, TN 37075-4490
Phone
(615) 447-3981
Fax
(615) 503-8096
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 21815 TN Primary

Addresses

Primary practice location

139 Maple Row Blvd Ste 100
Hendersonville, TN 37075-4490

Mailing address

139 Maple Row Blvd Ste 100
Hendersonville, TN 37075-4490
Phone (615) 447-3981

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
I20171106001097 TN Practitioner - Nurse Practitioner 9739445800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 Maple Row Blvd
Suite 100
Hendersonville, TN 37075-4490
Phone (615) 447-3981

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21815TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care and Medspa, LLC CurrentSince Apr 16, 2024 Accepting new patients

Locations

139 Maple Row Blvd
Ste 100
Hendersonville, TN 37075
Phone (615) 447-3981

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1922559095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754490",
            "telephone_number": "615-447-3981",
            "fax_number": "615-503-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754490",
            "telephone_number": "615-447-3981",
            "fax_number": "615-503-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "KALIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.