Active NPI
Taiwo T Everett, NP
- Nurse Practitioner
- Antioch, TN
National Provider Identifier
1255671269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0000017097
- Practice address
- 605 Mount Hood Dr
Antioch, TN 37013-1789 - Phone
- (615) 578-9401
- NPI assigned
- Feb 27, 2013
- Last updated
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17097 | TN | MD | Physical Therapist |
| 0000017097 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Medical College | Current | 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
- taiwo.everett.p1@direct.alegiscare.nextgenshare.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.