KAFUL DOUBLE PORTION FAMILY PRACTICE, INC
NPI 1386049476
Nurse Practitioner - Family in Cleveland, TN

Q: What is Kaful Double Portion Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 31, 2014CLIA 44D2085219 · Waiver

3740 OCOEE PLACE NW, SUITE 101, CLEVELAND, TN 37312(423) 339-7107(423) 339-6717 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kaful Double Portion Family Practice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAFUL DOUBLE PORTION FAMILY PRACTICE, INC (NPI 1386049476) is a healthcare organization registered as a family in Cleveland, Tennessee and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Brenda Gilbert, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1386049476

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameKAFUL DOUBLE PORTION FAMILY PRACTICE, INC

Location Address3740 OCOEE PLACE NW, SUITE 101Cleveland, TN 37312

Mailing Address3740 Ocoee Place Nw, Suite 101Cleveland, TN 37312 · (423) 339-7107 · Fax (423) 339-6717

Phone(423) 339-7107

Fax(423) 339-6717

Organization SubpartNo

Authorized OfficialBrenda GilbertProvider/owner · (423) 339-7107

Enumeration DateOctober 31, 2014

Last NPPES UpdateDecember 22, 2014

✔ NPI 1386049476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN0000014265

3740 OCOEE PLACE NW, Cleveland, TN 37312

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2085219

Kaful (double Portion) Family Practice · Cleveland, TN

Active · expires Oct 8, 2026

CLIA Number44D2085219

Laboratory TypePractitioner Other

Certificate Effective DateOctober 9, 2024

Certificate Expiration DateOctober 8, 2026

Laboratory DirectorTiandra Love

Laboratory Phone(423) 339-7107

Laboratory LocationKaful (double Portion) Family Practice3740 Ocoee Place NW, Suite 101, Cleveland, TN 37312

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRA SUE MILLS NP

Nurse Practitioner (Family)

3740 OCOEE PLACE NW, SUITE 101
CLEVELAND, TN 37312

Bradley County (423) 339-7107

BRENDA L GILBERT APN

Nurse Practitioner (Family)

3740 OCOEE PLACE NW, STE 101
CLEVELAND, TN 37312

Bradley County (423) 339-7107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaful Double Portion Family Practice, Inc's NPI number?

The NPI number for Kaful Double Portion Family Practice, Inc is 1386049476. It was assigned to this organization in the NPPES registry on October 31, 2014.

Where is Kaful Double Portion Family Practice, Inc located?

Kaful Double Portion Family Practice, Inc is located at 3740 Ocoee Place NW Suite 101, Cleveland, TN 37312. The listed phone number is (423) 339-7107.

What is Kaful Double Portion Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Kaful Double Portion Family Practice, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2085219) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kaful Double Portion Family Practice, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kaful Double Portion Family Practice, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaful Double Portion Family Practice, Inc was last updated on December 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.