Individual provider Active NPI

Teresa C Bennett, APRN

  • Family Nurse Practitioner
  • Paris, TN
National Provider Identifier
1134495179
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16536 Issued in TN
Practice address
800 Volunteer Dr
Paris, TN 38242-5472
Phone
(731) 642-2535
Fax
(615) 905-5201
NPI assigned
Mar 23, 2012
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16536 TN
Family Nurse Practitioner 363LF0000X 16536 TN Primary

Addresses

Primary practice location

800 Volunteer Dr
Paris, TN 38242-5472

Mailing address

512 Autumn Springs CT
Suite a
Franklin, TN 37067-2846
Phone (615) 905-5205

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
I20120427000537 TN Practitioner - Nurse Practitioner 2163684622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (901) 885-2410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Sep 24, 2015 Accepting new patients
Eagle Creek Emergency Group, PC Nurse Practitioner CurrentSince Mar 1, 2018 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients

Locations

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1134495179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 AUTUMN SPRINGS CT",
            "address_2": "SUITE A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672846",
            "telephone_number": "615-905-5205",
            "fax_number": "615-905-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VOLUNTEER DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425472",
            "telephone_number": "731-642-2535",
            "fax_number": "615-905-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TERESA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.