Active NPI
Erin Carner, FNP
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A810586
- Practice address
- 119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998 - Phone
- (865) 673-6741
- Fax
- (865) 673-6634
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A810586 | MS | Primary |
| Family Nurse Practitioner | 363LF0000X | 20819 | TN |
Addresses
Primary practice location
119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998
Mailing address
119 Boone Ridge Dr
Suite 201
Johnson City, TN 37615-4998
Phone (865) 673-6741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A810586 | MS | MD | Family Nurse Practitioner |
| 20819 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Ut Methodist Physicians LLC | Current | Accepting new patients | |
| Olive Branch Family Medical Center | Current | Accepting new patients | |
| Professional Imaging of Tennessee | Past | Accepting new patients |
Locations
1950 Grandview Dr
Grenada, MS 38901
Phone (662) 226-9554
9075 Sandidge Center Cv
Olive Branch, MS 38654
Phone (662) 895-4949
2782 Star Landing Rd E
Southaven, MS 38672
Phone (662) 291-7651
1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ecarner25662@mlh.direct-ci.com
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1427317908
-
- Family Medicine Physician
- Olive Branch, MS
- NPI 1629018478
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Somerville, TN
- NPI 1073569901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1285052209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "SUITE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154998",
"telephone_number": "865-673-6741",
"fax_number": "865-673-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "SUITE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154998",
"telephone_number": "865-673-6741",
"fax_number": "865-673-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNER",
"first_name": "ERIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "A810586",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "20819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.