Individual provider Active NPI

Alexandra Ellen Bullington, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1235877937
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3005 Ambrose Ave
Nashville, TN 37207-4709
Phone
(844) 673-6968
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3005 Ambrose Ave
Nashville, TN 37207-4709

Mailing address

PO Box 2127
Smyrna, TN 37167-1711
Phone (844) 673-6968

Other names 1

  • Alexandra Ellen Quinn Former name

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
I20220623000289 TN Practitioner - Physician Assistant 8325427271 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IntegumetrixGroup PAC ID 1759669773, 16 clinicians

Practice addresses (Care Compare)

111 Hwy 70 E
Dickson, TN 37055-2080
Phone (844) 673-6968

2300 Patterson St
Nashville, TN 37203-1538
Phone (844) 673-6968

Hospital & facility affiliations

  • Home Care Solutions Home health agency, Spring Hill, TN, CCN 447513
  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5060TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Valley Clinic LLC CurrentSince Jan 1, 2026 Accepting new patients
Physicians' Urgent Care, PLLC CurrentSince Oct 26, 2024 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1650 Cowles St
Fl 4
Fairbanks, AK 99701

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

155 Covey Dr
Ste 100
Franklin, TN 37067
Phone (615) 472-1550

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 3

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1235877937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371671711",
            "telephone_number": "844-673-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 AMBROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372074709",
            "telephone_number": "844-673-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLINGTON",
        "first_name": "ALEXANDRA",
        "middle_name": "ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "QUINN",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.