Individual provider Active NPI

Patrice Vivienne Henry, APRN

  • Family Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1063989150
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000024554 Issued in TN
Practice address
6508 Satjanon Dr
Ooltewah, TN 37363-7296
Phone
(000) 000-0000
NPI assigned
Oct 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 APN0000024554 TN Primary

Addresses

Primary practice location

6508 Satjanon Dr
Ooltewah, TN 37363-7296

Mailing address

6508 Satjanon Dr
Ooltewah, TN 37363-7296

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
I20190312002698 TN Practitioner - Nurse Practitioner 6608116512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Grove Center IncGroup PAC ID 1850299124, 2 clinicians

Practice addresses (Care Compare)

615 Derby St
Chattanooga, TN 37404-1632
Phone (423) 493-2905

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000024554TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Jan 6, 2020 Accepting new patients
Orange Grove Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jan 6, 2020 Accepting new patients
Tennessee Oncology PLLC CurrentSince Dec 3, 2025 Accepting new patients
Orange Grove Center Inc CurrentSince Jun 1, 2020 Accepting new patients
DX Mso, PLLC Past Accepting new patients

Locations

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

4747 Highway 58
Chattanooga, TN 37416
Phone (423) 648-4500

615 Derby St
Chattanooga, TN 37404
Phone (423) 493-2905

2021 Hamilton Place Blvd
Chattanooga, TN 37421
Phone (423) 855-9285

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1540598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1063989150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 SATJANON DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 SATJANON DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637296",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "PATRICE",
        "middle_name": "VIVIENNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000024554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.