Individual provider Active NPI

Paula M Vassar, NP

  • Family Nurse Practitioner
  • Union City, TN
National Provider Identifier
1275634503
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005325 Issued in TN
Practice address
1720 E Reelfoot Ave
Suite # 103
Union City, TN 38261-6047
Phone
(731) 885-6600
Fax
(731) 885-9239
NPI assigned
Sep 26, 2006
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 APN 0000005325 TN
Family Nurse Practitioner 363LF0000X APN0000005325 TN Primary

Addresses

Primary practice location

1720 E Reelfoot Ave
Suite # 103
Union City, TN 38261-6047

Mailing address

1720 E Reelfoot Ave
Ste 103
Union City, TN 38261-6048
Phone (731) 885-6600

Other names 1

  • Paula Hutchins Greer 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
I20060127000119 TN Practitioner - Nurse Practitioner 1355355421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paula Vassar IncGroup PAC ID 1153416284, 2 clinicians

Practice addresses (Care Compare)

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6048
Phone (731) 885-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41618TNMDPharmacist
APN 0000005325TNMDNurse Practitioner
APN0000005325TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Vassar Inc Family CurrentSince Dec 27, 2000 Accepting new patients

Locations

1117 S Miles Ave
Ste 4
Union City, TN 38261
Phone (731) 507-0707

1720 E Reelfoot Ave
Ste 103
Union City, TN 38261
Phone (731) 885-6600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paula Vassar IncUnion City, TN, CCN 448944 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Dec 16, 1999
Dec 16, 1999

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1275634503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "STE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616048",
            "telephone_number": "731-885-6600",
            "fax_number": "731-885-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE # 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-885-6600",
            "fax_number": "731-885-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSAR",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 0000005325",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "GREER",
            "middle_name": "HUTCHINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.