Individual provider Active NPI

Andrea Leann Nokes, FNP-BC

  • Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1306856414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000011905 Issued in TN
Practice address
1401 Sparta St
McMinnville, TN 37110-1301
Phone
(931) 473-8468
Fax
(931) 473-0595
NPI assigned
Aug 9, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000011905 TN Primary

Addresses

Primary practice location

1401 Sparta St
McMinnville, TN 37110-1301

Mailing address

1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 528-7531

Other practice location 1

9057 Manchester Hwy
Morrison, TN 37357-5911
Phone (931) 815-8525

Other practice location 2

9057 Manchester Hwy
Morrison, TN 37357-5911
Phone (931) 815-8525

Other identifiers 2

IdentifierTypeStateIssuer
01032615OtherTNAMERIGROUP
TN0101OtherTNAMERICHOICE

Other names 1

  • Miss Andrea Leann Maxwell 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
I20060427000726 TN Practitioner - Nurse Practitioner 1850301342 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000011905TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Jul 18, 2016 Accepting new patients
State of Tennessee Current Accepting new patients
State of Tennessee CurrentSince Jul 18, 2016 Accepting new patients
State of Tennessee PastSince Dec 15, 2019 Accepting new patients
Pathways Health Management Inc Past Accepting new patients

Locations

1100 England Dr
Cookeville, TN 38501
Phone (931) 528-7531

1401 Sparta St
McMinnville, TN 37110
Phone (931) 473-8468

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306856414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-528-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101301",
            "telephone_number": "931-473-8468",
            "fax_number": "931-473-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9057 Manchester Hwy",
            "address_purpose": "LOCATION",
            "city": "Morrison",
            "state": "TN",
            "postal_code": "373575911",
            "country_code": "US",
            "telephone_number": "931-815-8525",
            "fax_number": "931-815-8528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9057 Manchester Hwy",
            "address_purpose": "LOCATION",
            "city": "Morrison",
            "state": "TN",
            "postal_code": "373575911",
            "country_code": "US",
            "telephone_number": "931-815-8525",
            "fax_number": "931-815-8528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOKES",
        "first_name": "ANDREA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000011905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01032615",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MAXWELL",
            "middle_name": "LEANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.