Active NPI
Elizabeth Powell Anderson, FNP
- Family Medicine Physician
- Union City, TN
National Provider Identifier
1366094807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 621839639
- Practice address
- 1720 E Reelfoot Ave Ste 103
Union City, TN 38261-6048 - Phone
- (731) 885-6600
- Fax
- (731) 885-9239
- NPI assigned
- Jul 15, 2019
- Last updated
- Jul 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 621839639 | TN | Primary |
Addresses
Primary practice location
1720 E Reelfoot Ave Ste 103
Union City, TN 38261-6048
Mailing address
408 Sandhill Rd
Martin, TN 38237-5671
Phone (731) 587-3830
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paula Vassar Inc | Current | Accepting new patients |
Locations
1720 E Reelfoot Ave
Ste 103
Union City, TN 38261
Phone (731) 885-6600
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Union City, TN
- NPI 1639151582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1366094807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 SANDHILL RD",
"city": "MARTIN",
"state": "TN",
"postal_code": "382375671",
"telephone_number": "731-587-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E REELFOOT AVE STE 103",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382616048",
"telephone_number": "731-885-6600",
"fax_number": "731-885-9239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ELIZABETH",
"middle_name": "POWELL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "621839639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.