Individual provider Active NPI

Elizabeth Powell Anderson, FNP

  • Family Medicine Physician
  • Union City, TN
National Provider Identifier
1366094807
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
621839639 Issued in TN
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025000453 TN Practitioner - Nurse Practitioner 4486986353 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Vassar Inc CurrentSince Sep 11, 2019 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.

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

Verify at the official NPI Registry.