Individual provider Active NPI

Cathy A Greenwood, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1013493147
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24420 Issued in TN
Practice address
3136 Winesap Rd
Kingsport, TN 37663-2920
Phone
(423) 726-2077
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24420 TN Primary

Addresses

Primary practice location

3136 Winesap Rd
Kingsport, TN 37663-2920

Mailing address

3136 Winesap Rd
Kingsport, TN 37663-2920
Phone (423) 726-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200311000607 TX Practitioner - Nurse Practitioner 2365700192 Reassigns benefits to 1 organization
I20210525002615 NC Practitioner - Nurse Practitioner 2365700192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Indian Hospital AuthorityGroup PAC ID 2062320393, 88 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Caller Box C 268
Cherokee, TX 28719-9253
Phone (828) 497-9163

Hospital & facility affiliations

  • Cherokee Indian Hospital Authority Hospital, Cherokee, NC, CCN 340156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WNC Internal Medicine, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Jan 25, 2024 Accepting new patients
Only One Hub Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

63 Healthcare Dr
Sylva, NC 28779
Phone (828) 586-7796

98 Cope Creek Rd
Sylva, NC 28779
Phone (828) 399-0134

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19372/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1013493147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 WINESAP RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632920",
            "telephone_number": "423-726-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 WINESAP RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632920",
            "telephone_number": "423-726-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "CATHY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.