NPIMap

Individual provider Active NPI

Alicia Gaile Springer, NP

  • Rural Health Clinic/Center
  • Lexington, TN
National Provider Identifier
1417928854
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
8026 Issued in TN
Practice address
16615 Highway 104 N
Suite B
Lexington, TN 38351-5752
Phone
(731) 968-0660
Fax
(731) 968-0007
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 8026 TN
Rural Health Clinic/Center 261QR1300X 8026 TN Primary

Addresses

Primary practice location

16615 Highway 104 N
Suite B
Lexington, TN 38351-5752

Mailing address

16615 Highway 104 N
Suite B
Lexington, TN 38351-5752
Phone (731) 968-0660

Other identifiers 3

IdentifierTypeStateIssuer
443970OtherTNMEDICARE PART A PTAN
39094871OtherTNMEDICARE PART B PTAN
39094871MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000244 TN Practitioner - Nurse Practitioner 3072508431 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16615 Hwy 104 N
Suite B
Lexington, TN 38351
Phone (731) 968-0660

16615 Hwy 104 N
Suite B
Lexington, TN 38351-5753

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8026TNMDRural Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Springer Medical Associates Rural Health CurrentSince Jan 1, 2013 Accepting new patients
Healthy Choices of TN Past Accepting new patients
Lexington Clinic Corp Past Accepting new patients
Jackson Clinic PA Past Accepting new patients
Jackson Clinic PA PastSince Jan 3, 1995 Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Jackson Madison County General Hospital Past Accepting new patients
Lexington Family Practice LLC Past Accepting new patients
Main Street Family Medicine Inc Past Accepting new patients

Locations

16615 Highway 104 N
Ste B
Lexington, TN 38351
Phone (731) 968-0660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16990/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHIJBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Springer Medical AssociatesLexington, TN, CCN 443970 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 9

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.

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1417928854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16615 HIGHWAY 104 N",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383515752",
            "telephone_number": "731-968-0660",
            "fax_number": "731-968-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 HIGHWAY 104 N",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383515752",
            "telephone_number": "731-968-0660",
            "fax_number": "731-968-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "ALICIA",
        "middle_name": "GAILE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "8026",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "8026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A PTAN",
            "identifier": "443970",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PTAN",
            "identifier": "39094871",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39094871",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.