Individual provider Active NPI

Anesa R. Willoughby, FNP-C

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1194127902
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19077 Issued in TN
Practice address
166 E Main St
Hendersonville, TN 37075-2520
Phone
(615) 822-3000
Fax
(615) 348-0109
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19077 TN Primary

Addresses

Primary practice location

166 E Main St
Hendersonville, TN 37075-2520

Mailing address

PO Box 188
McMinnville, TN 37111-0188
Phone (615) 218-4872

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
I20150130001198 TN Practitioner - Nurse Practitioner 6800110453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

Hospital & facility affiliations

  • Beacon Home Health Home health agency, Goodlettsville, TN, CCN 447558
  • Highpoint Homecare Home health agency, Gallatin, TN, CCN 447487
  • All Heart Home Care Home health agency, Nashville, TN, CCN 447517
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Medical Group LLC Past Accepting new patients

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.

Hospital & facility affiliations 4

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1194127902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371110188",
            "telephone_number": "615-218-4872",
            "fax_number": "615-348-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752520",
            "telephone_number": "615-822-3000",
            "fax_number": "615-348-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "ANESA",
        "middle_name": "R.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.