Individual provider Active NPI

Teresa Lynn Rivers, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1386226736
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29249 Issued in TN
Practice address
7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802
Phone
(423) 648-9290
Fax
(423) 648-9291
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29249 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29249 TN Primary

Addresses

Primary practice location

7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802

Mailing address

7155 Lee Hwy Ste 300
Chattanooga, TN 37421-0802
Phone (423) 553-7560

Other practice location 1

804 N Holtzclaw Ave
Chattanooga, TN 37404
Phone (855) 612-3494

Other names 1

  • Teresa Lynn King 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
I20210903000361 TN Practitioner - Nurse Practitioner 3971909649 Reassigns benefits to 1 organization
Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspring Therapy Services LLCGroup PAC ID 7012370109, 7 clinicians

Practice addresses (Care Compare)

6918 Shallowford Rd
Suite 317
Chattanooga, TN 37421-1783
Phone (423) 855-7977

7155 Lee Hwy
Suite 300
Chattanooga, TN 37421-0802
Phone (423) 553-7560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29249TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Therapy Services, LLC CurrentSince Mar 1, 2026 Accepting new patients
Transitions Counseling LLC PastSince Mar 1, 2026 Accepting new patients
Chattanooga Hamilton County Hospital Authority PastSince May 1, 2021 Accepting new patients

Locations

6918 Shallowford Rd
Ste 317
Chattanooga, TN 37421
Phone (423) 827-7695

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1386226736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210802",
            "telephone_number": "423-553-7560",
            "fax_number": "423-648-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210802",
            "telephone_number": "423-648-9290",
            "fax_number": "423-648-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 N Holtzclaw Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "855-612-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29249",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "KING",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.