Individual provider Active NPI

Vicki G Carter, APRN, MSN, CDE

  • Family Nurse Practitioner
  • Newport, TN
National Provider Identifier
1467459990
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 5671 Issued in TN
Practice address
150 E Broadway
Newport, TN 37821-2329
Phone
(423) 237-6900
Fax
(423) 532-8710
NPI assigned
Jun 30, 2005
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 APN 5671 TN Primary

Addresses

Primary practice location

150 E Broadway
Newport, TN 37821-2329

Mailing address

PO Box 3889
Johnson City, TN 37602-3889
Phone (423) 794-2457

Other practice location 1

1021 Coolidge St Ste 4
Greeneville, TN 37743-5986
Phone (423) 237-6900

Other practice location 2

420 W Morris Blvd Ste 400B
Morristown, TN 37813-2282
Phone (423) 586-2410

Other identifiers 2

IdentifierTypeStateIssuer
3903364MedicaidTN
3903368MedicaidTN

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
I20060619000297 TN Practitioner - Nurse Practitioner 5991717738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN 5671TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Nov 1, 2021 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Oct 31, 2021 Accepting new patients
Premise Health of Tennessee Medical PC PastSince Aug 28, 2021 Accepting new patients

Locations

1021 Coolidge St
Ste 4
Greeneville, TN 37743
Phone (423) 237-6900

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

150 E Broadway
Newport, TN 37821
Phone (423) 237-6900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1467459990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3889",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023889",
            "telephone_number": "423-794-2457",
            "fax_number": "423-283-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E BROADWAY",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212329",
            "telephone_number": "423-237-6900",
            "fax_number": "423-532-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Coolidge St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377435986",
            "country_code": "US",
            "telephone_number": "423-237-6900",
            "fax_number": "423-525-5982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 W Morris Blvd Ste 400B",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132282",
            "country_code": "US",
            "telephone_number": "423-586-2410",
            "fax_number": "423-581-9692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "VICKI",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN 5671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3903364",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3903368",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.