Active NPI
Wanda A. Lancaster, FNP-BC
- Family Nurse Practitioner
- Pigeon Forge, TN
National Provider Identifier
1104932029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN7565
- Practice address
- 415 Cole Dr
Pigeon Forge, TN 37863-3775 - Phone
- (865) 428-5454
- Fax
- (865) 429-5616
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN7565 | TN | Primary |
Addresses
Primary practice location
415 Cole Dr
Pigeon Forge, TN 37863-3775
Mailing address
711 Signal Mountain Rd # 304
Chattanooga, TN 37405-1823
Phone (865) 360-4919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN7565 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| Alaska Kidney & Diabetes Association | Past | Accepting new patients |
Locations
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Endocrinology, Diabetes & Metabolism Physician
- Anchorage, AK
- NPI 1619935558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104932029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SIGNAL MOUNTAIN RD # 304",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374051823",
"telephone_number": "865-360-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COLE DR",
"city": "PIGEON FORGE",
"state": "TN",
"postal_code": "378633775",
"telephone_number": "865-428-5454",
"fax_number": "865-429-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "WANDA",
"middle_name": "A.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN7565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pigeon Forge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.