Individual provider Active NPI

Dawn Marie Glass, ANP

  • Adult Health Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1306136742
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN15781 Issued in TN
Practice address
411 Princeton Rd
Suite 101
Johnson City, TN 37601-2049
Phone
(423) 282-1171
Fax
(423) 282-1181
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN15781 TN Primary

Addresses

Primary practice location

411 Princeton Rd
Suite 101
Johnson City, TN 37601-2049

Mailing address

119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615-8000
Phone (423) 282-1171

Other names 1

  • Dawn Marie Arapakos 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
I20110608000683 TN Practitioner - Nurse Practitioner 2769669399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN15781TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Feb 7, 2017 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Sep 2, 2017 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2016 Accepting new patients
NV Pacs 2 LLC CurrentSince Jun 22, 2022 Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

100 Stalling Ln
Erwin, TN 37650
Phone (423) 743-4131

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615
Phone (423) 928-1145

300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1306136742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BOONE RIDGE DR",
            "address_2": "STE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376158000",
            "telephone_number": "423-282-1171",
            "fax_number": "423-282-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PRINCETON RD",
            "address_2": "SUITE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012049",
            "telephone_number": "423-282-1171",
            "fax_number": "423-282-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN15781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "ARAPAKOS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.