Individual provider Active NPI

Teresa A Thayer, MSN APRN

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1275679532
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005923 Issued in TN
Practice address
301 McGhee St
Maryville, TN 37801-6811
Phone
(865) 983-4582
Fax
(865) 681-0079
NPI assigned
Jan 30, 2007
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000005923 TN Primary

Addresses

Primary practice location

301 McGhee St
Maryville, TN 37801-6811

Mailing address

301 McGhee St
Maryville, TN 37801-6811
Phone (865) 983-4582

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000005923TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Family Practice Inc Family PastSince Aug 25, 2020 Accepting new patients
Blount Memorial Physician Group, Inc PastSince Jan 1, 2011 Accepting new patients
J&J Medical PLLC Family PastSince Jun 28, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1275679532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCGHEE ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378016811",
            "telephone_number": "865-983-4582",
            "fax_number": "865-681-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCGHEE ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378016811",
            "telephone_number": "865-983-4582",
            "fax_number": "865-681-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "MSN APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.