Individual provider Active NPI

Deborah D Pease, FNP

  • Family Nurse Practitioner
  • Athens, TN
National Provider Identifier
1487667606
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN0000081347 Issued in TN
Practice address
711 Cook Dr
Suite 100
Athens, TN 37303-3486
Phone
(423) 744-7585
Fax
(423) 744-7075
NPI assigned
Aug 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 RN0000081347 TN Primary

Addresses

Primary practice location

711 Cook Dr
Suite 100
Athens, TN 37303-3486

Mailing address

711 Cook Dr
Suite 100
Athens, TN 37303-3486
Phone (423) 744-7585

Other identifiers 1

IdentifierTypeStateIssuer
3901773MedicaidTN

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
I20101116000282 TN Practitioner - Nurse Practitioner 0143415166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

711 Cook Dr
Suite 100
Athens, TN 37303-3499
Phone (423) 744-7585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000081347TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Physicians Practice LLC CurrentSince Oct 1, 2001 Accepting new patients
Athens Physicians Practice LLC Family CurrentSince Oct 1, 2001 Accepting new patients
Athens Physicians Practice, LLC Current Accepting new patients
Athens Physicians Practice LLC Family Past Accepting new patients
McMinn Medical Group PLLC Past Accepting new patients

Locations

711 Cook Dr
Ste 100
Athens, TN 37303
Phone (423) 744-7585

711 Cook Dr
Ste 100RHC
Athens, TN 37303

719 Cook Dr
Ste 102
Athens, TN 37303
Phone (423) 745-1277

719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770

872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585

Interoperability endpoints

  • Direct secure messaging: deborah.pease.1@19363.direct.athenahealth.com
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/d255b42f-6d24-4c06-b9cb-4bec724563ac
  • Direct secure messaging: kwd0445@yourcarecommunity.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487667606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-744-7585",
            "fax_number": "423-744-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-744-7585",
            "fax_number": "423-744-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "DEBORAH",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN0000081347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3901773",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.