Connie J Fogle, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24223 Issued in TN

Practice address

750 Old Hickory Blvd Ste 1-262a
Brentwood, TN 37027-4528

Phone

(615) 994-8416

Fax

(855) 919-6233

NPI assigned

Jul 18, 2013

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Mountain City, TN
  • NPI 1518736834
  Medicare reassignment NPD
• Abode Care Partners, P.C.

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1720744345
  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1467894584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26110 EMERY RD STE 300",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285788",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD STE 1-262A",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "615-994-8416",
            "fax_number": "855-919-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "CONNIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Flowers
• Phylliss Lamora Flowers, FNP
• Marguerite Anne Flynn, MSSW, LCSW
• Revoydia Tamayshia Ann Flynn
• April Foell
• Laurel Fohn, MD
• Foley Clinic Corp
• Brandon Micah Foltz, D.D.S.
• Bridget Fomby
• Eugene G Fong, MD

• Family Nurse Practitioner in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.