Restorative Family Medicine

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RESTORATIVE FAMILY MEDICINE

Practice address

3773 E Andrew Johnson Hwy
Morristown, TN 37814-6236

Phone

(423) 616-0880

Fax

(423) 616-0881

NPI assigned

Feb 12, 2020

Last updated

Jan 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Nichole Davis, FNPNPI 1073881959

Title

Family Nurse Practitioner

Phone

(423) 616-0880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22509/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Nichole Davis, FNP-BC

  • Family Nurse Practitioner
  • Morristown, TN
  • NPI 1073881959
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1396377800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146236",
            "telephone_number": "423-616-0880",
            "fax_number": "423-616-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146236",
            "telephone_number": "423-616-0880",
            "fax_number": "423-616-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W 4th North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143813",
            "country_code": "US",
            "telephone_number": "423-863-6498",
            "fax_number": "865-229-9687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "423-616-0880",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Jason Reid, PHARM.D.
• Haley Raquel Reid
• Sharon Reid, LPC-MHSP
• Nina Cipriana Rendon-Owens
• Omer Clyde Renner Jr., MD
• Jennifer R. Revis, M.S.
• Madonna Reyes, PT
• Tonya M. Reyes, MSN, FNP
• Jeffrey A Reynolds, PA-C
• Savannah Faye Reynolds, DC

• Family Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.