Serena Proudfoot, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

31302 Issued in TN

Practice address

26150 Main St
Ardmore, TN 38449-3158

Phone

(931) 207-9297

Fax

(931) 209-9298

NPI assigned

Oct 8, 2021

Last updated

Nov 29, 2022By 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 2

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3755/brand/2/csg/1/fhir/r4
• Direct secure messaging: serena.proudfoot.1@3755.direct.athenahealth.com

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.

• Celebration Family Care PLLC

  • Rural Health Clinic/Center
  • Lewisburg, TN
  • NPI 1891053823
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1497417232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26150 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493158",
            "telephone_number": "931-207-9297",
            "fax_number": "931-209-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26150 MAIN ST",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493158",
            "telephone_number": "931-207-9297",
            "fax_number": "931-209-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13173 Hidden Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357563167",
            "country_code": "US",
            "telephone_number": "256-542-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROUDFOOT",
        "first_name": "SERENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31302",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F09211477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew P. McMasters,DDS,PC
• Melissa Hammel Consulting (Melissa K Hammel)
• Tamara Moody, RD
• Alexandra Parker, AGPCNP
• Madison Hughes Plunkett
• Results-Ast JV, LLC
• Bayleigh Ahna Robbins
• Makayla Smith
• Joanna Marie Sneed
• Sunbridge Retirement Care Associates (Ardmore Center)

• Family Nurse Practitioner in Ardmore, TN
• Providers in Ardmore, 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 29, 2022; 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.