Active NPI
Tessa B Eckhardt, NP
- Obstetrics Physician
- Ooltewah, TN
National Provider Identifier
1275186504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 26164
- Practice address
- 6845 Mountain View Rd
Ooltewah, TN 37363-6561 - Phone
- (423) 910-0896
- Fax
- (423) 910-1183
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 288350 | GA | |
| Obstetrics Physician | 207VX0000X | 26164 | TN | Primary |
Addresses
Primary practice location
6845 Mountain View Rd
Ooltewah, TN 37363-6561
Mailing address
6033 Windham LN
Hixson, TN 37343-2068
Phone (865) 705-1180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288350 | GA | MD | Obstetrics Physician |
| 26164 | TN | MD | Obstetrics Physician |
Interoperability endpoints
- tessa.eckhardt.1@15690.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1275186504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6033 WINDHAM LN",
"city": "HIXSON",
"state": "TN",
"postal_code": "373432068",
"telephone_number": "865-705-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6845 MOUNTAIN VIEW RD",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636561",
"telephone_number": "423-910-0896",
"fax_number": "423-910-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHARDT",
"first_name": "TESSA",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "GA",
"license": "288350",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TN",
"license": "26164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
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- Todd Evans Ealy, D.D.S.
- Cynthia Jean Eckert, APRN, MSN, FNP-C
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- Nicholas Eller, DPT
- Robert M Elliott, D.C.
- Empowered to Thrive Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.