Active NPI
Felicia J Brickey, FNP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN12698
- Practice address
- 2421 N John B Dennis Hwy
Kingsport, TN 37660-4773 - Phone
- (423) 288-3988
- Fax
- (423) 288-3273
- NPI assigned
- Apr 10, 2007
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN12698 | TN | Primary |
Addresses
Primary practice location
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
111 W Stone Dr Ste 200
Kingsport, TN 37660-6028
Phone (423) 723-2030
Other practice location 2
378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751
Other names 1
- Felicia J Tittle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
377 Clonce St
Weber City, VA 24290-7269
Phone (276) 477-5640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12698 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| APN12698 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Universal Health Corporation | Current | Accepting new patients | |
| Solstas Lab Partners Group LLC | Past | Accepting new patients |
Locations
2966 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-8144
1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094
377 Clonce St
Weber City, VA 24290
Phone (276) 386-9444
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1467575662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 N JOHN B DENNIS HWY",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604773",
"telephone_number": "423-288-3988",
"fax_number": "423-288-3273"
}
],
"practiceLocations": [
{
"address_1": "111 W Stone Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606028",
"country_code": "US",
"telephone_number": "423-723-2030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "378 Marketplace Blvd Ste 5",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042361",
"country_code": "US",
"telephone_number": "423-282-0751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRICKEY",
"first_name": "FELICIA",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN12698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FELICIA",
"last_name": "TITTLE",
"middle_name": "J",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.