Dawn M Roy, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

16725 Issued in TN

Practice address

2305 N Gateway Ave Unit 2
Harriman, TN 37748

Phone

(865) 882-2010

Fax

(865) 882-0099

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4
• FHIR API: https://epicproxy.et1052.epichosted.com/FHIRProxy/PREMISE/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DX Mso, PLLC

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment NPD
• Athens Physicians Practice LLC

  • Family Medicine Physician
  • Athens, TN
  • NPI 1073532123
  NPD (past)
• Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Etowah, TN
  • NPI 1508627175
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539993600000",
    "number": "1003161068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 N GATEWAY AVE UNIT 2",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488709",
            "telephone_number": "865-882-2010",
            "fax_number": "865-882-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 N GATEWAY AVE UNIT 2",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "37748",
            "telephone_number": "865-882-2010",
            "fax_number": "865-882-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 N Gateway Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "37748",
            "country_code": "US",
            "telephone_number": "865-882-2010",
            "fax_number": "865-882-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2018-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "16725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roane Urgent Care Clinic LLC
• Charles David Roberts, DC
• Colby Roberts, DC
• John Fletcher Robertson IV, OD
• Kristina Roper, PHARMD
• Michael Scott Russell
• Kathleen C. Sales, MD
• Sandra M. Wade, FNP Inc.
• Judson Dylan Scandlyn, PT, DPT
• Paul Mose Schubert, D.D.S.

• Primary Care Nurse Practitioner in Harriman, TN
• Providers in Harriman, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.