Ethel B. Spivey, DNP FNP- B.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11732 Issued in TN

Practice address

1997 Highway 51 S
Covington, TN 38019-3630

Phone

(901) 476-8967

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amen Clinic PCGroup PAC ID 3971765421, 3 clinicians

Segue Health of Mississippi LLCGroup PAC ID 2769757897, 23 clinicians

Segue Health Partners LLCGroup PAC ID 5496020521, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethelspivey@hvcwtn.allscriptsdirect.net

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.

• Amen Clinic PC

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1407121551
  Medicare reassignment Care Compare group NPD
• Segue Health Partners LLC

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1073040556
  Medicare reassignment Care Compare group NPD
• Segue Health of Mississippi LLC

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1467989954
  Medicare reassignment Care Compare group NPD
• Lauderdale Community Hospital LLC

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1376175687
  Medicare reassignment
• Lauderdale Community Hospital LLC

  • Emergency Care Clinic/Center
  • Ripley, TN
  • NPI 1962034272
  Medicare reassignment

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1447261797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6474 HIGHWAY 51 N",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380637022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193630",
            "telephone_number": "901-476-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "ETHEL",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "DNP FNP- B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "058818",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3641871",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary B Snider
• James Sorrell
• Loretta Lea Sorsby
• Katie L Spearman
• Susan Annette Spears, PTA
• Madison Starnes
• State of Tennessee
• Ronald A Stello, OD
• Lisa Stimpson, SLP-CCC
• Kathy Strahan

• Family Nurse Practitioner in Covington, TN
• Providers in Covington, 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 Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.