Individual provider Active NPI

Gwendolyn Teesha McDaniel, CFNP

  • Family Nurse Practitioner
  • Newport, TN
National Provider Identifier
1275548851
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10486 Issued in TN
Practice address
150 E Broadway
Newport, TN 37821-2329
Phone
(423) 237-6900
Fax
(423) 532-8710
NPI assigned
Jul 30, 2006
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000010486 TN
Family Nurse Practitioner 363LF0000X 10486 TN Primary

Addresses

Primary practice location

150 E Broadway
Newport, TN 37821-2329

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 237-6900

Other practice location 1

312 Armstrong St
Rogersville, TN 37857-3606
Phone (423) 254-6406

Other practice location 2

1021 Coolidge St
Greeneville, TN 37743-4672
Phone (423) 237-6900

Other names 1

  • Gwendolyn Teesha Noe Former name

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
I20041129000705 TN Practitioner - Nurse Practitioner 6103881412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

150 E Broadway
Newport, TN 37821-2329
Phone (423) 636-2750

228 N Fairmont Ave
Morristown, TN 37814-3768
Phone (423) 616-0040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000010486TNMDNurse Practitioner
10486TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Sep 1, 2022 Accepting new patients
Advanced Diagnostic Imaging, PC Nurse Practitioner CurrentSince May 15, 2017 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 9, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 9, 2021 Accepting new patients
US Diabetes Care and Surgical Specialty of Morristown TN CurrentSince Jul 12, 2020 Accepting new patients
The Hope Clinic PLLC CurrentSince Dec 1, 2025 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Oct 30, 2022 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince May 15, 2017 Accepting new patients
Bean Station Family Medicine, PC Past Accepting new patients

Locations

1021 Coolidge St
Ste 4
Greeneville, TN 37743
Phone (423) 237-6900

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

2231 Sandstone Dr
Morristown, TN 37814
Phone (423) 616-0625

228 N Fairmont Ave
Morristown, TN 37814
Phone (423) 586-6263

291 S Daisy St
Morristown, TN 37813
Phone (423) 616-8315

4138 Durham Lndg
Morristown, TN 37813
Phone (423) 586-1717

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

150 E Broadway
Newport, TN 37821
Phone (423) 237-6900

Interoperability endpoints

  • Direct secure messaging: gwendolyn.mcdaniel.1@24871.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1275548851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-237-6900",
            "fax_number": "423-532-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E BROADWAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212329",
            "telephone_number": "423-237-6900",
            "fax_number": "423-532-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Armstrong St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378573606",
            "country_code": "US",
            "telephone_number": "423-254-6406",
            "fax_number": "423-254-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Coolidge St",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377434672",
            "country_code": "US",
            "telephone_number": "423-237-6900",
            "fax_number": "423-636-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "GWENDOLYN",
        "middle_name": "TEESHA",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000010486",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "NOE",
            "middle_name": "TEESHA",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.