Individual provider Active NPI

Barbara Acker Brock, FNP,MSN,IBCLC

  • Family Nurse Practitioner
  • Dandridge, TN
National Provider Identifier
1326164393
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN005548 Issued in TN
Practice address
931 Industrial Park Rd
Suite 200
Dandridge, TN 37725-4701
Phone
(865) 397-3930
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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 APN005548 TN Primary

Addresses

Primary practice location

931 Industrial Park Rd
Suite 200
Dandridge, TN 37725-4701

Mailing address

931 Industrial Park Rd
Suite 200
Dandridge, TN 37725-4701
Phone (865) 397-3930

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN005548TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1326164393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 INDUSTRIAL PARK RD",
            "address_2": "SUITE 200",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254701",
            "telephone_number": "865-397-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 INDUSTRIAL PARK RD",
            "address_2": "SUITE 200",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254701",
            "telephone_number": "865-397-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "BARBARA",
        "middle_name": "ACKER",
        "name_prefix": "Ms.",
        "credential": "FNP,MSN,IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN005548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.