Provider Demographics
NPI:1730748344
Name:SWEARINGEN, KATIE LYNN (FNP-BC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LYNN
Last Name:SWEARINGEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LYNN
Other - Last Name:MOULDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:
Practice Address - Street 1:1034 N HIGHLAND AVE STE C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2463
Practice Address - Country:US
Practice Address - Phone:615-890-4810
Practice Address - Fax:615-895-4391
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000215806163W00000X
TNAPN00000025919363LA2100X, 363LA2200X, 363LF0000X, 363LP0200X, 363LP2300X, 363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000025919OtherADVANCED PRACTICE REGISTERED NURSE
TNRN0000215806OtherLICENSED REGISTERED NURSE
TN2019012635OtherANCC CERTIFICATION NUMBER
TN14506800OtherCAQH PROVIDER ID