Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Kathryn Elizabeth Waller, FNP-C

Individual provider Family Nurse Practitioner · NPI 1841562907

Mrs. Kathryn Elizabeth Waller, FNP-C is a Nurse Practitioner in Tullahoma, Tennessee. Qualified in 2011, 15 years ago. Practices with Vanderbilt Integrated Providers LLC, a 78-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2012
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1805 N Jackson St Ste 100
Tullahoma, TN 37388-2291
Phone: (931) 455-7767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 16415 (TN)

Record details

NPI number1841562907
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2012
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Vanderbilt Integrated Providers Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients189
Services billed 2,928 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Vanderbilt Integrated Providers LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 78 clinicians in the practice; 12 are shown here.

Other providers in Tullahoma