Individual provider Active NPI

Julie Elizabeth Carr, F.N.P

  • Family Nurse Practitioner
  • Sale Creek, TN
National Provider Identifier
1386980795
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16032 Issued in TN
Practice address
14821 Dayton Pike
Suite B
Sale Creek, TN 37373-5752
Phone
(423) 486-9455
Fax
(423) 486-9458
NPI assigned
Dec 13, 2012
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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 16032 TN Primary

Addresses

Primary practice location

14821 Dayton Pike
Suite B
Sale Creek, TN 37373-5752

Mailing address

1012 Hill Crest Rd
Hixson, TN 37343-2119
Phone (931) 808-1471

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
I20130418000301 TN Practitioner - Nurse Practitioner 1951547991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Wellness LLCGroup PAC ID 2365820586, 13 clinicians
Family Care Clinic LLCGroup PAC ID 8729225677, 13 clinicians

Practice addresses (Care Compare)

207 Oak Park
McMinnville, TN 37110-1336
Phone (931) 474-4000

306 N Chancery St
McMinnville, TN 37110-2048
Phone (931) 474-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16032TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Access Healthcare CurrentSince Mar 24, 2020 Accepting new patients
Family Care Wellness LLC Family CurrentSince May 1, 2022 Accepting new patients
Family Care Clinic LLC Family CurrentSince Oct 1, 2016 Accepting new patients
Blankenship Medical Group PLLC Past Accepting new patients

Locations

207 Oak Park
McMinnville, TN 37110
Phone (931) 474-4000

306 N Chancery St
McMinnville, TN 37110
Phone (931) 474-4700

14821 Dayton Pike
#B
Sale Creek, TN 37373
Phone (423) 486-9451

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1386980795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 HILL CREST RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432119",
            "telephone_number": "931-808-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 DAYTON PIKE",
            "address_2": "SUITE B",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373735752",
            "telephone_number": "423-486-9455",
            "fax_number": "423-486-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sale Creek, TN

Sources for this page

Verify at the official NPI Registry.