Individual provider Active NPI

Alyssa Nation, ACNPC-AG

  • Critical Care Medicine Nurse Practitioner
  • Loudon, TN
National Provider Identifier
1467240978
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
238270 Issued in TN
Practice address
159 Holly Grove LN
Loudon, TN 37774-1609
Phone
(240) 419-4872
NPI assigned
Apr 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 238270 TN Primary

Addresses

Primary practice location

159 Holly Grove LN
Loudon, TN 37774-1609

Mailing address

159 Holly Grove LN
Loudon, TN 37774-1609
Phone (240) 419-4872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
238270TNMDCritical Care Medicine Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1467240978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HOLLY GROVE LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741609",
            "telephone_number": "240-419-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HOLLY GROVE LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741609",
            "telephone_number": "240-419-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATION",
        "first_name": "ALYSSA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TN",
            "license": "238270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.