Julie Elizabeth Carr, F.N.P
Individual provider Active NPI Family Nurse Practitioner · Sale Creek, TN
NPI 1386980795 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1386980795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 16032 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care Wellness LLC
Family Care Clinic LLC
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
- Adoration Home Health McMinnville
- Saint Thomas River Park Hospital
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 |
|---|---|---|---|---|
| I20130418000301 | TN | Practitioner - Nurse Practitioner | 1951547991 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16032 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Wellness LLC | Family | Current |
Accepting new patients |
| Family Care Clinic LLC | Family | Current |
Accepting new patients |
| Fast Access Healthcare | Current |
Accepting new patients | |
| Blankenship Medical Group PLLC | Past | Accepting new patients |
Locations
306 N Chancery St
McMinnville, TN 37110
Phone (931) 474-4700
207 Oak Park
McMinnville, TN 37110
Phone (931) 474-4000
14821 Dayton Pike
#B
Sale Creek, TN 37373
Phone (423) 486-9451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16032 | TN | Yes |
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
Other providers in Sale Creek, TN
- Agilitas USA, Inc
- Daniel T Black
- Christa M Byerley
- Brittany L Cannon
- Michael Caraccio
- Rachel Clark
- Daniel T Black
- First Care Family Clinic LLC
- Susan R Gasque
- Tyler Anthony Gunter
All providers in Sale Creek, 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 Jul 1, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.