Individual provider Active NPI

Tinesha Nicholson, FNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1497497663
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26618 Issued in TN
Practice address
1012 Spring Creek Rd
Chattanooga, TN 37412-3912
Phone
(423) 509-0888
NPI assigned
Apr 8, 2022
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 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 26618 TN Primary

Addresses

Primary practice location

1012 Spring Creek Rd
Chattanooga, TN 37412-3912

Mailing address

1012 Spring Creek Rd
Chattanooga, TN 37412-3912
Phone (423) 509-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220601002079 TN Practitioner - Nurse Practitioner 6406234582 Reassigns benefits to 5 organizations
I20260402000445 GA Practitioner - Nurse Practitioner 6406234582 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, shared by 6 NPIs, 181 clinicians
Advanced Foot Care LLPGroup PAC ID 5597655654, 25 clinicians

Practice addresses (Care Compare)

1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882

1720 Gunbarrel Rd
Chattanooga, TN 37421-4144
Phone (205) 822-8038

2445 Memorial Blvd
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

403 McBrien Rd
East Ridge, TN 37412-3223
Phone (423) 894-3589

419 N Market St
Chattanooga, TN 37405-3974
Phone (423) 414-3012

4308 Brainerd Rd
Chattanooga, TN 37411-5424
Phone (423) 698-1966

4490 Hixson Pike
Hixson, TN 37343-5038
Phone (423) 875-0700

625 E 12TH St
South Pittsburg, TN 37380-1630
Phone (423) 648-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot Care, LLP CurrentSince Jan 21, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 23, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Dec 5, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Dec 5, 2024 Accepting new patients
Advanced Foot Care LLP CurrentSince Jan 21, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 23, 2026 Accepting new patients

Locations

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

1720 Gunbarrel Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1720 Gunbarrel Rd
Ste 204
Chattanooga, TN 37421
Phone (423) 533-8556

4308 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 698-1966

5741 Highway 153
Ste 117
Hixson, TN 37343
Phone (423) 870-8088

5741 Highway 153
Ste F
Hixson, TN 37343
Phone (423) 870-8088

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Organizations & group practices 11

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1497497663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123912",
            "telephone_number": "423-509-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123912",
            "telephone_number": "423-509-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TINESHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.