Teresa Dianne Davis, NP
Individual provider Active NPI Family Nurse Practitioner · Lewisburg, TN
NPI 1376863191 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1376863191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000015005 (TN)
- Practice address
- 529 W Commerce St
Lewisburg, TN 37091-3219 - Phone
- (931) 270-9729
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
-
Joseph Howard Rupard, M D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110614000429 | TN | Practitioner - Nurse Practitioner | 8628255981 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000015005 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury Regional Hospital | Current |
Accepting new patients | |
| Celebration Family Care PLLC | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital | Current |
Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Maury Regional Hospital Marshall Medical Center | Past | Accepting new patients |
Locations
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
529 W Commerce St
Lewisburg, TN 37091
Phone (931) 270-9729
200 S Cross Bridges Rd
Mt Pleasant, TN 38474
Phone (931) 379-5821
Interoperability endpoints
- https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000015005 | TN | Yes |
Addresses
Primary practice location
529 W Commerce St
Lewisburg, TN 37091-3219
Mailing address
529 W Commerce St
Lewisburg, TN 37091-3219
Phone (931) 270-9729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0510008 | Other | TN | AANP |
Other providers in Lewisburg, TN
- William Benjamin Copeland
- County of Marshall Board of Education
- Emily Hill Darnell
- David Alfredson MD PC
- Michael James Davidson
- Thomas Davis
- Ryan Dehm
- Dentistry of Lewisburg
- Dialysis Associates, LLC
- Discovery Expeditions
All providers in Lewisburg, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.