BREANNA KELLY CAUDILL FNP-C NPI 1831716240

NPI Information

NPI: 1831716240
Provider Name: BREANNA KELLY CAUDILL, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1116 HIGHWAY 11 W
CHURCH HILL, TN
ZIP 37645
Phone: (423) 226-5109
Get Directions

Breanna Kelly Caudill, FNP-C is a family nurse practitioner in Church Hill, TN. Breanna Kelly Caudill, FNP-C NPI is 1831716240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1116 HIGHWAY 11 W
CHURCH HILL, TN
ZIP 37645
Phone: (423) 226-5109
Fax: (423) 226-5150

The NPI 1831716240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 12/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024179089	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	27535	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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