Individual provider Active NPI

Constance F Cowherd, ANP

  • Pediatric Nurse Practitioner
  • Athens, TN
National Provider Identifier
1275764847
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000008463 Issued in TN
Practice address
421 Old Riceville Rd Ste 2
Athens, TN 37303-3074
Phone
(423) 744-8755
Fax
(423) 744-8568
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000008463 TN Primary

Addresses

Primary practice location

421 Old Riceville Rd Ste 2
Athens, TN 37303-3074

Mailing address

421 Old Riceville Rd Ste 2
Athens, TN 37303-3074
Phone (423) 744-8755

Other identifiers 1

IdentifierTypeStateIssuer
1521976MedicaidTN

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000008463TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Medical Clinic Past Accepting new patients
Covenant Pediatrics, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: connie.cowherd@covpeds.directbygreenway.com

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, 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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1275764847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "423-744-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 OLD RICEVILLE RD STE 2",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033074",
            "telephone_number": "423-744-8755",
            "fax_number": "423-744-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWHERD",
        "first_name": "CONSTANCE",
        "middle_name": "F",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000008463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521976",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.