Active NPI
Alysa C Werkheiser-Quillen, APRN
- Primary Care Nurse Practitioner
- Mountain Home, TN
National Provider Identifier
1154930402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 27839
- Practice address
- Sidney and Lamont Streets
Mountain Home, TN 37684 - Phone
- (423) 926-1171
- NPI assigned
- Jul 23, 2020
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 27839 | TN | Primary |
Addresses
Primary practice location
Sidney and Lamont Streets
Mountain Home, TN 37684
Mailing address
669 Big Hollow Rd
Blountville, TN 37617-5332
Phone (423) 341-5528
Other practice location 1
101 Dogwood Ave
Mountain Home, TN 37684
Phone (423) 926-1171 ext. 5868
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | alysa.werkheiser-quillen@va.gov | Health Information Exchange (HIE) | Mountain Home VAMC |
| CONNECT URL | alysa.werkheiser-quillen@va.gov | Health Information Exchange (HIE) | Mountain Home VAMC |
| CONNECT URL | alysa.werkheiser-quillen@va.gov | Health Information Exchange (HIE) | Mountain Home VAMC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27839 | TN | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1154930402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 BIG HOLLOW RD",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376175332",
"telephone_number": "423-341-5528",
"fax_number": "423-979-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SIDNEY AND LAMONT STREETS",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171"
}
],
"practiceLocations": [
{
"address_1": "101 Dogwood Ave",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "TN",
"postal_code": "37684",
"country_code": "US",
"telephone_number": "423-926-1171 x5868",
"fax_number": "423-979-3028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WERKHEISER-QUILLEN",
"first_name": "ALYSA",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2023-11-27",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "27839",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "alysa.werkheiser-quillen@va.gov",
"affiliation": "Y",
"endpointDescription": "Government email",
"affiliationName": "Mountain Home VAMC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Sidney and Lamont Streets",
"city": "Mountain Home",
"state": "TN",
"country_code": "US",
"postal_code": "376844000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "alysa.werkheiser-quillen@va.gov",
"affiliation": "Y",
"endpointDescription": "Government email",
"affiliationName": "Mountain Home VAMC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Sidney and Lamont Streets",
"city": "Mountain Home",
"state": "TN",
"country_code": "US",
"postal_code": "376844000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "alysa.werkheiser-quillen@va.gov",
"affiliation": "Y",
"endpointDescription": "Government email",
"affiliationName": "Mountain Home VAMC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Sidney and Lamont Streets",
"city": "Mountain Home",
"state": "TN",
"country_code": "US",
"postal_code": "376844000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.