Provider Demographics
NPI:1154775427
Name:ATKINS, KAYLA W (CPNP-PC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:W
Last Name:ATKINS
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:WHITNEY
Other - Last Name:SAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 15004
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37901-5004
Mailing Address - Country:US
Mailing Address - Phone:865-541-8895
Mailing Address - Fax:865-633-4808
Practice Address - Street 1:2100 CLINCH AVENUE SUITE 410
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916
Practice Address - Country:US
Practice Address - Phone:865-343-6976
Practice Address - Fax:877-554-2891
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN21038363LP0200X
TNRN183530163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ021736Medicaid