Individual provider Active NPI

Tess Bolletta, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1144980848
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35837 Issued in TN
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

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2371GAMDFamily Nurse Practitioner
35837TNMDFamily Nurse Practitioner
1058454TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mose and Garrison Siskin Memorial Foundation, Inc. Past Accepting new patients
St Davids Heart & Vascular, PLLC PastSince Apr 25, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tess.bolletta.1@4286.direct.athenahealth.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.