ALEXA KAITLYN DURHAM RN
NPI 1851972293
Nurse Practitioner - Family in Atoka, TN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 17, 2021

100/100

CMS Quality Rating

11630 HIGHWAY 51 S, ATOKA, TN 38004(901) 837-5020 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 16, 2021, Apr 17, 2021 (2 updates tracked since 2021).

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About Alexa Kaitlyn Durham Rn NPPES

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

ALEXA KAITLYN DURHAM RN (NPI 1851972293) is an individual family provider in Atoka, Tennessee, licensed in Tennessee (29848) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1851972293

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXA KAITLYN DURHAMCredential: RN

Location Address11630 HIGHWAY 51 SAtoka, TN 38004-7129

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (901) 837-5020

Phone(901) 837-5020

Sole ProprietorNo

Enumeration DateApril 17, 2021

Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration

NPPES CertifiedNovember 16, 2021

✔ NPI 1851972293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in TN · 29848

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 214892 (TN)

11630 HIGHWAY 51 S, Atoka, TN 38004

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Other Names 1

Former Name (1)Alexa Kaitlyn Edmondson

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

DR. KENEKO T CLAYBON PHARM. D.

Pharmacist