Kailyn Attanasio, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Knoxville, TN
NPI 1962379867 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1962379867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2025004758 (TN)
- Practice address
- 2216 Antietam Rd
Knoxville, TN 37917-3505 - Phone
- (423) 503-3012
- NPI assigned
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pain Consultants of East Tennessee, PLLC
Practice addresses (Care Compare)
1540 Member LN
Suite 100
Knoxville, TN 37909-1231
Phone (865) 579-0552
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260423001254 | TN | Practitioner - Nurse Practitioner | 4789151143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025004758 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2025004758 | TN | Yes |
Addresses
Primary practice location
2216 Antietam Rd
Knoxville, TN 37917-3505
Mailing address
2216 Antietam Rd
Knoxville, TN 37917-3505
Other providers in Knoxville, TN
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- Atomic Workers Alliance, LLC.
- Atrium at Weston Place, LLC
- Ats Innovations
- Shera Atterberry
- Eric Sarpong Atuahene
- Eric Thomas Atwood
- Sierra Atwood
- Stacy Aubin
All providers in Knoxville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.