Individual provider Active NPI

Teresa A Rasmussen, P.A.C.

  • Physician Assistant
  • Tazewell, TN
National Provider Identifier
1437130408
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0719 Issued in TN
Practice address
1579 Tazewell Rd
Tazewell, TN 37879-3607
Phone
(423) 259-3955
Fax
(877) 358-9236
NPI assigned
Nov 8, 2005
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0719 TN Primary

Addresses

Primary practice location

1579 Tazewell Rd
Tazewell, TN 37879-3607

Mailing address

1579 Tazewell Rd
Tazewell, TN 37879-3607
Phone (423) 259-3955

Other identifiers 2

IdentifierTypeStateIssuer
441877MedicaidTN
3340196MedicaidTN

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
I20051209000338 TN Practitioner - Physician Assistant 8224059951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claiborne Health and Wellness IncGroup PAC ID 3577976315, 2 clinicians

Practice addresses (Care Compare)

1579 Tazewell Rd
Tazewell, TN 37879-3607
Phone (423) 489-8462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0719TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harrogate Family & Health Care, Inc. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trasmussen@hfahci-tn.direct.office.nextgen.com

Organizations & group practices 2

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 1

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1437130408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 TAZEWELL RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793607",
            "telephone_number": "423-259-3955",
            "fax_number": "877-358-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 TAZEWELL RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793607",
            "telephone_number": "423-259-3955",
            "fax_number": "877-358-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441877",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3340196",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.