Individual provider Active NPI

Lindsey Paige Pendergrass, APRN, FNP-C

  • Family Nurse Practitioner
  • Piney Flats, TN
National Provider Identifier
1073232013
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31692 Issued in TN
Practice address
5554 Highway 11 E
Piney Flats, TN 37686-4435
Phone
(423) 666-0030
Fax
(423) 666-0031
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 31692 TN Primary

Addresses

Primary practice location

5554 Highway 11 E
Piney Flats, TN 37686-4435

Mailing address

804 Bristol Caverns Hwy
Bristol, TN 37620-9456
Phone (276) 698-6009

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
I20220904000081 TN Practitioner - Nurse Practitioner 8022492347 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31692TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 20, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 20, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 10, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 10, 2022 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

5554 Highway 11 E
Piney Flats, TN 37686
Phone (423) 666-0030

Organizations & group practices 4

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1073232013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BRISTOL CAVERNS HWY",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376209456",
            "telephone_number": "276-698-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 HIGHWAY 11 E",
            "city": "PINEY FLATS",
            "state": "TN",
            "postal_code": "376864435",
            "telephone_number": "423-666-0030",
            "fax_number": "423-666-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "LINDSEY",
        "middle_name": "PAIGE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piney Flats, TN

Sources for this page

Verify at the official NPI Registry.