Julia Fitchett, MSN, APRN, NP-C
Individual provider Active NPI Family Nurse Practitioner · Blountville, TN
NPI 1104589654 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1104589654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024180981 (VA)
- Practice address
- 296 Fain Rd
Blountville, TN 37617-4616 - Phone
- (606) 521-6069
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Rogers Community Services
Practice addresses (Care Compare)
216 Hospital Ave
Marion, VA 24354-3157
Phone (276) 783-8185
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221000645 | VA | Practitioner - Nurse Practitioner | 9436593167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158271 | TN | MD | Critical Care Medicine Registered Nurse |
| 0024180981 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Rogers Community Services | Current |
Accepting new patients |
Locations
1590 N Main St
Marion, VA 24354
Phone (276) 783-7499
216 Hospital Ave
Marion, VA 24354
Phone (276) 783-8185
770 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 158271 | TN | |
| Family Nurse Practitioner | 363LF0000X | 28642 | TN | |
| Family Nurse Practitioner | 363LF0000X | 0024180981 | VA | Yes |
Addresses
Primary practice location
296 Fain Rd
Blountville, TN 37617-4616
Mailing address
296 Fain Rd
Blountville, TN 37617-4616
Phone (606) 521-6069
Other providers in Blountville, TN
- Sara Bridges Evans
- Teri L Evans
- Kari D Farmer
- Fast Pace Medical Clinic PLLC
- Karen M Feeley
- Suzanne Gayle Folkner
- George Fredericks IV
- Fritts Family Chiropractic, Inc.
- David Shannon Fritts
- Brandan Glazier
All providers in Blountville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.