Individual provider Active NPI

Rachel Rouse Dearing, FNP

  • Family Nurse Practitioner
  • Talbott, TN
National Provider Identifier
1043508906
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15927 Issued in TN
Practice address
204 Shaver Dr
Talbott, TN 37877-8552
Phone
(423) 581-7040
Fax
(423) 581-9563
NPI assigned
Jul 13, 2011
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 15927 TN Primary

Addresses

Primary practice location

204 Shaver Dr
Talbott, TN 37877-8552

Mailing address

204 Shaver Dr
Talbott, TN 37877-8552
Phone (423) 581-7040

Other identifiers 1

IdentifierTypeStateIssuer
1525711MedicaidTN

Other names 1

  • Rachel Rouse Dearing Other name

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
I20110727000104 TN Practitioner - Nurse Practitioner 8820266430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Associates, PCGroup PAC ID 9931179041, 3 clinicians

Practice addresses (Care Compare)

204 Shaver Dr
Talbott, TN 37877-8552
Phone (423) 581-7040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15927TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, PC Family CurrentSince Aug 15, 2011 Accepting new patients

Locations

204 Shaver Dr
Talbott, TN 37877
Phone (423) 581-7040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1043508906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARING",
        "first_name": "RACHEL",
        "middle_name": "ROUSE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525711",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DEARING",
            "middle_name": "ROUSE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Talbott, TN

Sources for this page

Verify at the official NPI Registry.