Individual provider Active NPI

Erica Lynn Winter

  • Psychiatric/Mental Health Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1487258794
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000028600 Issued in TN
Practice address
9065 Silver Maple Dr
Ooltewah, TN 37363-2905
Phone
(423) 292-3429
NPI assigned
Nov 27, 2020
Last updated
Nov 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000028600 TN Primary

Addresses

Primary practice location

9065 Silver Maple Dr
Ooltewah, TN 37363-2905

Mailing address

9065 Silver Maple Dr
Ooltewah, TN 37363-2905
Phone (423) 292-3429

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
I20220126002322 TN Practitioner - Nurse Practitioner 5496147357 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000028600TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Behavioral Health, LLC CurrentSince Sep 15, 2022 Accepting new patients
Scenic City Alliance of Psychiatry and Psychotherapy PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

804 N Holtzclaw Ave
Chattanooga, TN 37404
Phone (423) 463-4408

7345 Courage Way
Ste 101
Chattanooga, TN 37421
Phone (423) 602-9791

Organizations & group practices 2

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": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1487258794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 SILVER MAPLE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632905",
            "telephone_number": "423-292-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 SILVER MAPLE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632905",
            "telephone_number": "423-292-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000028600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.