Individual provider Active NPI

Deborah Hopper, FNP

  • Family Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1447502158
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17050 Issued in TN
Practice address
864 W Church St
Suite a
Lexington, TN 38351-1727
Phone
(731) 249-9777
Fax
(731) 249-5011
NPI assigned
Oct 4, 2012
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17050 TN Primary

Addresses

Primary practice location

864 W Church St
Suite a
Lexington, TN 38351-1727

Mailing address

864 W Church St
Suite a
Lexington, TN 38351-1727
Phone (731) 249-9777

Other names 1

  • Deborah Wright Former name

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
I20121210000078 TN Practitioner - Nurse Practitioner 5496907917 Reassigns benefits to 2 organizations
Practice locations: Lexington, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17050TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 30, 2012 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 30, 2012 Accepting new patients
Hardin Emergency Group LLC CurrentSince Nov 22, 2016 Accepting new patients
Millennia Medical LLC Past Accepting new patients

Locations

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1447502158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 W CHURCH ST",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511727",
            "telephone_number": "731-249-9777",
            "fax_number": "731-249-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 W CHURCH ST",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511727",
            "telephone_number": "731-249-9777",
            "fax_number": "731-249-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "DEBORAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WRIGHT",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.