Individual provider Active NPI

Erin Elizabeth Fagot, APRN, WHNP

  • Women's Health Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1023555828
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
22199 Issued in TN
Practice address
300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone
(629) 206-6858
Fax
(931) 372-8839
NPI assigned
Jan 31, 2017
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 22199 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801

Mailing address

300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone (629) 206-6858

Other identifiers 3

IdentifierTypeStateIssuer
6094166OtherTNBCBS
103I500498OtherTNMEDICARE
Q026872MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170511002156 TN Practitioner - Nurse Practitioner 2567749906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health TN, PCGroup PAC ID 4688065980, 56 clinicians

Practice addresses (Care Compare)

300 Stonecrest Blvd
Suite 310
Smyrna, TN 37167-6801
Phone (629) 206-6858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health TN, PC Women's Health PastSince Sep 11, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erin.fagot.7@23211.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1023555828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 310",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676801",
            "telephone_number": "629-206-6858",
            "fax_number": "931-372-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 310",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676801",
            "telephone_number": "629-206-6858",
            "fax_number": "931-372-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGOT",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "22199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6094166",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I500498",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q026872",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.