Active NPI
Cassie Jeanette Meadows, FNP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21373
- Practice address
- 151 Wendover Dr
Unit 5
Kingsport, TN 37663-2655 - Phone
- (423) 239-0099
- Fax
- (423) 239-0273
- NPI assigned
- Jul 8, 2016
- Last updated
- Sep 26, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21373 | TN | Primary |
| Registered Nurse | 163W00000X | RN0000186618 | TN |
Addresses
Primary practice location
151 Wendover Dr
Unit 5
Kingsport, TN 37663-2655
Mailing address
119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615-8000
Phone (423) 282-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000186618 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Pac Services PC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Trinity Medical Services, PLLC | Family | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
106 Ferrell Ave
Ste 5
Kingsport, TN 37663
Phone (423) 239-0099
151 Wendover Dr
Unit 5
Kingsport, TN 37663
Phone (423) 239-0099
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590
600 Waldon Rd NE
Abingdon, VA 24210
Phone (276) 628-2111
103 North St
Bristol, VA 24201
Phone (276) 642-7901
2966 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-8144
1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660
3610 Winchester Dr
Portsmouth, VA 23707
Phone (757) 297-0725
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Interoperability endpoints
- cassie.meadows@87329552007172.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Abingdon, VA
- NPI 1073042800
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1114379625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "STE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376158000",
"telephone_number": "423-282-1480",
"fax_number": "423-928-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 WENDOVER DR",
"address_2": "UNIT 5",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632655",
"telephone_number": "423-239-0099",
"fax_number": "423-239-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "CASSIE",
"middle_name": "JEANETTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21373",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000186618",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.