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

MS. Keelyn Boles

Individual provider Family Nurse Practitioner · NPI 1790219061

MS. Keelyn Boles is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2016, 10 years ago. Practices with Cookeville Regional Medical Center, a 52-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2030 Hamilton Place Blvd Ste 220
Chattanooga, TN 37421-6040
Phone: (423) 498-3788
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 24190 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 198603 (TN)

Record details

NPI number1790219061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address2030 Hamilton Place Blvd Ste 220, Chattanooga, TN 37421-6040

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cookeville Regional Medical Center — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Chattanooga