Individual provider Active NPI

Neil A Twilla, N.P.

  • Family Nurse Practitioner
  • Mufreesboro, TN
National Provider Identifier
1265463293
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN0000103422 Issued in TN
Practice address
1072 N. Highland Ave.
Mufreesboro, TN 37130
Phone
(615) 895-2527
Fax
(615) 895-7056
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 RN0000103422 TN Primary

Addresses

Primary practice location

1072 N. Highland Ave.
Mufreesboro, TN 37130

Mailing address

1910 Haynes Dr
Murfreesboro, TN 37129-1058
Phone (615) 347-7702

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
I20040708001445 TN Practitioner - Nurse Practitioner 9133107949 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000103422TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blankenship Medical Group PLLC Past Accepting new patients
Southern Anesthesia Consultants LLC PastSince Oct 1, 2017 Accepting new patients
Family Care Clinic LLC Family PastSince May 13, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265463293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 HAYNES DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291058",
            "telephone_number": "615-347-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N. HIGHLAND AVE.",
            "city": "MUFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-895-2527",
            "fax_number": "615-895-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWILLA",
        "first_name": "NEIL",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000103422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mufreesboro, TN

Sources for this page

Verify at the official NPI Registry.