Individual provider Active NPI

Revrey Amey, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1265984876
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN21448 Issued in TN
Practice address
2516 Pulaski Hwy
Columbia, TN 38401-5753
Phone
(931) 548-2656
Fax
(931) 223-8888
NPI assigned
Oct 30, 2016
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN0000124219 TN
Family Nurse Practitioner 363LF0000X APN21448 TN Primary

Addresses

Primary practice location

2516 Pulaski Hwy
Columbia, TN 38401-5753

Mailing address

2516 Pulaski Hwy
Columbia, TN 38401-5753
Phone (931) 548-2656

Other practice location 1

400 Watts Dr
Columbia, TN 38401-7145
Phone (931) 215-9943

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
I20180724003852 TN Practitioner - Nurse Practitioner 8729335567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2516 Pulaski Hwy
Columbia, TN 38401-5753
Phone (931) 548-2656

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN21448TNMDFamily Nurse Practitioner
RN0000124219TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jun 16, 2018 Accepting new patients
People's Choice Clinic, LLC CurrentSince Oct 16, 2018 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 16, 2018 Accepting new patients

Locations

2516 Pulaski Hwy
Columbia, TN 38401
Phone (931) 548-2656

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 3

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": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1265984876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 PULASKI HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015753",
            "telephone_number": "931-548-2656",
            "fax_number": "931-223-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 PULASKI HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015753",
            "telephone_number": "931-548-2656",
            "fax_number": "931-223-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Watts Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384017145",
            "country_code": "US",
            "telephone_number": "931-215-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEY",
        "first_name": "REVREY",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-30",
        "last_updated": "2022-05-04",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000124219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN21448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.