Nicole Leigh Charles

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23886 Issued in TN

Practice address

6670 Stage Rd
Bartlett, TN 38134-3810

Phone

(901) 384-9000

NPI assigned

Jul 19, 2018

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Leigh Chey Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians

Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21313/brand/1/csg/1/fhir/r4

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.

• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Infusion Express of Tennessee, PC

  dba IVX Health

  • Clinic/Center
  • Hendersonville, TN
  • NPI 1003379108
  Medicare reassignment Care Compare group NPD
• Makarios Group 3 LLC

  dba New Life Medical Center

  • Primary Care Clinic/Center
  • Lakeland, TN
  • NPI 1023427853
  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  dba Urgent Team

  • Rural Health Clinic/Center
  • South Pittsburg, TN
  • NPI 1427781129

  Nurse Practitioner

  NPD
• Ivxpress Inc

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1801025481
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1083190359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343810",
            "telephone_number": "901-384-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343810",
            "telephone_number": "901-384-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CHEY",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dione Latrice Catron, LCSW
• Phaniraj Cegu
• Centerwell Health Services USA, LLC (CenterWell Home Health)
• Beverly D Chance, D.PH
• Simon Chanin
• Steven K Chase, D.P.M.
• Chosen Vessel Ministries
• Chosen Vessel Ministries
• Christian Counseling Center of Bartlett, LLC
• Christian Psychiatric SVCS PLC

• Family Nurse Practitioner in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.