Individual provider Active NPI

Tessa Suzanne Chaney, FNP

  • Family Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1467869040
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171724 Issued in VA
Practice address
590 W Ridge Rd Ste J
Wytheville, VA 24382-1067
Phone
(276) 228-2405
Fax
(833) 941-2005
NPI assigned
Jul 16, 2014
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 0024171724 VA Primary

Addresses

Primary practice location

590 W Ridge Rd Ste J
Wytheville, VA 24382-1067

Mailing address

590 W Ridge Rd Ste J
Wytheville, VA 24382-1067
Phone (276) 228-2405

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321003634 VA Practitioner - Nurse Practitioner 8527405802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024171724VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC CurrentSince Mar 1, 2024 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Mountainview Pediatrics, P.C. Past Accepting new patients
Wythe Bland Pediatrics PastSince Oct 27, 2024 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 228-5069

360 Virginia Ave
#B
Wytheville, VA 24382
Phone (276) 223-1430

590 W Ridge Rd
Ste J
Wytheville, VA 24382
Phone (276) 228-2405

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: tessa.chaney.1@19847.direct.athenahealth.com

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1467869040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD STE J",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821067",
            "telephone_number": "276-228-2405",
            "fax_number": "833-941-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD STE J",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821067",
            "telephone_number": "276-228-2405",
            "fax_number": "833-941-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "TESSA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.