Individual provider Active NPI

Desiree R Batson, ANP-BC

  • Adult Health Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1265655401
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7665 Issued in TN
Practice address
6401 Mountain View Rd
Ste 101
Ooltewah, TN 37363-6683
Phone
(423) 495-5890
Fax
(866) 663-1693
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN0000007665 TN
Adult Health Nurse Practitioner 363LA2200X 7665 TN Primary

Addresses

Primary practice location

6401 Mountain View Rd
Ste 101
Ooltewah, TN 37363-6683

Mailing address

6401 Mountain View Rd
Ste 101
Ooltewah, TN 37363-6683
Phone (423) 495-5890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7665TNMDOccupational Therapist
APN0000007665TNMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1265655401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW RD",
            "address_2": "STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636683",
            "telephone_number": "423-495-5890",
            "fax_number": "866-663-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW RD",
            "address_2": "STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636683",
            "telephone_number": "423-495-5890",
            "fax_number": "866-663-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATSON",
        "first_name": "DESIREE",
        "middle_name": "R",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000007665",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "7665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.