Active NPI
Tess Bolletta, FNP-C
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1144980848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 35837
- Practice address
- 1101 Carter St
Chattanooga, TN 37402-5017 - Phone
- (423) 490-7710
- NPI assigned
- Dec 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1058454 | TX | |
| Family Nurse Practitioner | 363LF0000X | 2371 | GA | |
| Family Nurse Practitioner | 363LF0000X | 35837 | TN | Primary |
Addresses
Primary practice location
1101 Carter St
Chattanooga, TN 37402-5017
Mailing address
7381 Paxton Cir
Hixson, TN 37343-2504
Phone (217) 853-4521
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 |
|---|---|---|---|
| 2371 | GA | MD | Family Nurse Practitioner |
| 35837 | TN | MD | Family Nurse Practitioner |
| 1058454 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mose and Garrison Siskin Memorial Foundation, Inc. | Past | Accepting new patients | |
| St Davids Heart & Vascular, PLLC | Past | Accepting new patients |
Interoperability endpoints
- tess.bolletta.1@4286.direct.athenahealth.com
- 2373-bolletta-tess@direct.leadingreach.com
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.
-
- Specialist
- Chattanooga, TN
- NPI 1902132509
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1700887700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1144980848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7381 PAXTON CIR",
"city": "HIXSON",
"state": "TN",
"postal_code": "373432504",
"telephone_number": "217-853-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CARTER ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374025017",
"telephone_number": "423-490-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLETTA",
"first_name": "TESS",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1058454",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "2371",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "35837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.