Individual provider Active NPI

Taiwo T Everett, NP

  • Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1255671269
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0000017097 Issued in TN
Practice address
605 Mount Hood Dr
Antioch, TN 37013-1789
Phone
(615) 578-9401
NPI assigned
Feb 27, 2013
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0000017097 TN Primary

Addresses

Primary practice location

605 Mount Hood Dr
Antioch, TN 37013-1789

Mailing address

1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-5944

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
I20200706002666 TN Practitioner - Nurse Practitioner 7719300078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17097TNMDPhysical Therapist
0000017097TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College CurrentSince Jul 1, 2020 Accepting new patients

Locations

5352 Hickory Hollow Pkwy
Antioch, TN 37013
Phone (615) 731-0889

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

Interoperability endpoints

  • Direct secure messaging: taiwo.everett.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: taiwo.everett.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1255671269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DR DB TODD JR BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-5944",
            "fax_number": "615-327-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MOUNT HOOD DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131789",
            "telephone_number": "615-578-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "TAIWO",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "0000017097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.