Individual provider Active NPI

Barton L Nakdimen, APRN-BC

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1245304625
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN11988 Issued in TN
Practice address
2415 Chambliss Ave NW
Cleveland, TN 37311-3882
Phone
(423) 559-2800
Fax
(423) 559-0532
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 APN11988 TN Primary

Addresses

Primary practice location

2415 Chambliss Ave NW
Cleveland, TN 37311-3882

Mailing address

2415 Chambliss Ave NW
Cleveland, TN 37311-3882
Phone (423) 559-2800

Other names 1

  • Nick Nakdimen Other 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
I20080211000146 TN Practitioner - Nurse Practitioner 6800979113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates of Cleveland, PCGroup PAC ID 3971501784, 7 clinicians

Practice addresses (Care Compare)

2415 Chambliss Nwave
Cleveland, TN 37311-3882
Phone (423) 559-2800

Hospital & facility affiliations

  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN11988TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates of Cleveland, PC CurrentSince Jan 14, 2021 Accepting new patients
Dennis Clifford Ford MD Past Accepting new patients
At Home Primary Care Inc PastSince Nov 3, 2010 Accepting new patients

Locations

2415 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 472-5401

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

119 White Water Dr
Ocoee, TN 37361
Phone (423) 299-9435

Organizations & group practices 4

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 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1245304625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113882",
            "telephone_number": "423-559-2800",
            "fax_number": "423-559-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113882",
            "telephone_number": "423-559-2800",
            "fax_number": "423-559-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKDIMEN",
        "first_name": "BARTON",
        "middle_name": "L",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "NAKDIMEN",
            "credential": "APRN-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.