Individual provider Active NPI

Amy Katherine Farlett, FNPC

  • Family Nurse Practitioner
  • Soddy Daisy, TN
National Provider Identifier
1275903171
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20512 Issued in TN
Practice address
210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone
(423) 332-6155
Fax
(423) 332-5293
NPI assigned
Oct 5, 2015
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 20512 TN Primary

Addresses

Primary practice location

210 Walmart Dr
Soddy Daisy, TN 37379-5022

Mailing address

210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone (423) 332-6155

Other names 1

  • Miss Amy Katherine Covington 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
I20160714001407 TN Practitioner - Nurse Practitioner 3476845223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

210 Walmart Dr
Soddy Daisy, TN 37379-5022
Phone (423) 332-6155

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20512TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Cares, Inc. CurrentSince May 11, 2020 Accepting new patients
Chattanooga Cares, Inc. CurrentSince May 11, 2020 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Apr 24, 2016 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Apr 24, 2016 Accepting new patients

Locations

1000 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 265-2273

3905 Hixson Pike
Ste 103
Chattanooga, TN 37415
Phone (423) 756-1506

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

210 Walmart Dr
Soddy Daisy, TN 37379
Phone (423) 332-6155

Organizations & group practices 4

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 3

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1275903171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALMART DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795022",
            "telephone_number": "423-332-6155",
            "fax_number": "423-332-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALMART DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795022",
            "telephone_number": "423-332-6155",
            "fax_number": "423-332-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLETT",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "COVINGTON",
            "middle_name": "KATHERINE",
            "prefix": "MISS",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soddy Daisy, TN

Sources for this page

Verify at the official NPI Registry.