Individual ProviderKatelyn Elizabeth DantzlerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2018 Clinch Ave, South Tower, 2nd Floor, Knoxville, TN 37916(865) 971-7400(865) 541-8895PECOS EnrollmentBased on the most recent information from CMS, provider Katelyn Elizabeth Dantzler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609253152Provider TypeIndividualFull NameDantzler, Katelyn ElizabethTitleMs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date5/5/2015Last Updated2/14/2025Contact InformationPractice LocationPractice Address2018 Clinch Ave, South Tower, 2nd Floor, Knoxville, TN 37916Phone(865) 971-7400Fax(865) 246-7561Mailing LocationMailing AddressPO Box 15004, Knoxville, TN 37901-5004Phone(865) 541-8895Fax(865) 633-4808Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense19999TennesseeProvider IdentifiersIDDescriptionIssuerIDQ019292DescriptionMedicaidIssuerUnlistedTennessee