Blair Hicks Terrill, CNM / NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN0000017681 Issued in TN

Practice address

7557B Dannaher Dr Ste 225
Powell, TN 37849-3568

Phone

(865) 647-3450

Fax

(865) 647-3468

NPI assigned

Jul 1, 2013

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as apm

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

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.

• Knoxville Hma Physician Management, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1629356969

  Family

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1265872634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557B DANNAHER DR STE 225",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493568",
            "telephone_number": "865-647-3450",
            "fax_number": "865-647-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557B DANNAHER DR STE 225",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493568",
            "telephone_number": "865-647-3450",
            "fax_number": "865-647-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "BLAIR",
        "middle_name": "HICKS",
        "credential": "CNM / NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN17681",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN0000017681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010818",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blair.hicks.2@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7557B Dannaher Dr Ste 225",
            "city": "Powell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378493568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tennessee Em-I Medical Services PC
• Tennessee HDR Medical Services LLC
• Tennessee Sports Medicine, PC
• Tennessee Urology Associates, PLLC
• John Andrew Ternay, M.D.
• Evelyn Jean Teruel, DMD
• The Eye Site, Inc
• The Smile Center
• Kimberly M Thomas, DMD
• Nicholas P Thornton IV, MD

• Advanced Practice Midwife in Powell, TN
• Providers in Powell, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.