Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaci Lauren Henard

Individual provider Registered Nurse · NPI 1467111989

Kaci Lauren Henard is a Nurse Practitioner in LA Follette, Tennessee. Qualified in 2021, 5 years ago. Practices with Eastlake Medical, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2205 Jacksboro Pike
LA Follette, TN 37766-2904
Phone: (423) 352-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 30910 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 206383 (TN)

Record details

NPI number1467111989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eastlake Medical, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Follette