Active NPI
Amie Pearson, FNP-C
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1215321807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19826
- Practice address
- 325 Market St
Chattanooga, TN 37402-1226 - Phone
- (423) 778-7000
- NPI assigned
- Mar 23, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19826 | TN | Primary |
Addresses
Primary practice location
325 Market St
Chattanooga, TN 37402-1226
Mailing address
325 Market St
Chattanooga, TN 37402-1226
Phone (423) 778-7000
Other practice location 1
702 S Cumberland St
Lebanon, TN 37087-4110
Phone (615) 444-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q012731 | Medicaid | TN |
Other names 1
- Ms. Amie Pruitt
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1215321807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MARKET ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374021226",
"telephone_number": "423-778-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MARKET ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374021226",
"telephone_number": "423-778-7000"
}
],
"practiceLocations": [
{
"address_1": "702 S Cumberland St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370874110",
"country_code": "US",
"telephone_number": "615-444-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARSON",
"first_name": "AMIE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q012731",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMIE",
"last_name": "PRUITT",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.