Individual provider Active NPI

Terry Lynn Witherington, APN

  • Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1275567307
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000006608 Issued in TN
Practice address
107 Glen Oak Blvd.
Suite 201
Hendersonville, TN 37075-3162
Phone
(615) 822-2400
Fax
(615) 822-9641
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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 89426 TN
Nurse Practitioner 363L00000X APN0000006608 TN Primary

Addresses

Primary practice location

107 Glen Oak Blvd.
Suite 201
Hendersonville, TN 37075-3162

Mailing address

211 Indian Lake Blvd
Hendersonville, TN 37075-6214
Phone (615) 826-3100

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
I20090324000167 TN Practitioner - Nurse Practitioner 8123185956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89426TNMDNurse Practitioner
APN0000006608TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices LLC CurrentSince Sep 10, 2010 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Sep 10, 2010 Accepting new patients

Locations

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1275567307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756214",
            "telephone_number": "615-826-3100",
            "fax_number": "615-447-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLEN OAK BLVD.",
            "address_2": "SUITE 201",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753162",
            "telephone_number": "615-822-2400",
            "fax_number": "615-822-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERINGTON",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "89426",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000006608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.