NPIMap

Individual provider Active NPI

Katherine M Gilliland, MSN CRNP

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1972892354
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15598 Issued in TN
Practice address
1805 North Jackson St.
Suite 100
Tullahoma, TN 37388
Phone
(931) 455-7767
Fax
(931) 455-8636
NPI assigned
Apr 6, 2011
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 15598 TN Primary

Addresses

Primary practice location

1805 North Jackson St.
Suite 100
Tullahoma, TN 37388

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Other names 1

  • Katherine M Horrocks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000391 TN Practitioner - Nurse Practitioner 0446437545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology and Vascular AssociatesGroup PAC ID 3779887781, 7 clinicians

Practice addresses (Care Compare)

1801 N Jackson St
Suite 100
Tullahoma, TN 37388-8260
Phone (931) 393-7831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
86.06
Promoting interoperability
99
Improvement activities
40
Cost
74.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15598TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Lincoln Inc CurrentSince Oct 30, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jun 5, 2024 Accepting new patients
HH Health System - Lincoln Inc CurrentSince Oct 30, 2023 Accepting new patients
Cardiology & Vascular Associates CurrentSince May 1, 2021 Accepting new patients
Coffee Medical Group LLC Past Accepting new patients
Coffee Medical Group LLC Past Accepting new patients

Locations

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

108 Medical Center Blvd
Ste 125
Fayetteville, TN 37334
Phone (931) 433-3453

108 Medical Center Blvd
Ste 150
Fayetteville, TN 37334
Phone (931) 433-1105

108 Medical Center Blvd
Ste 175
Fayetteville, TN 37334
Phone (931) 236-4498

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1801 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 393-7831

Interoperability endpoints

  • Direct secure messaging: katherine.gilliland.1@21536.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1972892354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NORTH JACKSON ST.",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-455-7767",
            "fax_number": "931-455-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HORROCKS",
            "middle_name": "M",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.