Individual provider Active NPI

April Nichols, FNP-BC

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1508637224
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36927 Issued in TN
Practice address
1270 Union University Dr Ste a
Jackson, TN 38305-3856
Phone
(731) 664-0103
Fax
(731) 265-6448
NPI assigned
Jan 11, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 36927 TN Primary

Addresses

Primary practice location

1270 Union University Dr Ste a
Jackson, TN 38305-3856

Mailing address

720 Spanish Grove Rd
Buena Vista, TN 38318-3418
Phone (731) 535-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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
I20240302000386 MS Practitioner - Nurse Practitioner 4082059852 Reassigns benefits to 1 organization
I20241016000836 TN Practitioner - Nurse Practitioner 4082059852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

1270 Union University Dr
Suite a
Jackson, TN 38305-3856
Phone (731) 664-0103

186 Hospital Dr
Camden, TN 38320-1618
Phone (731) 593-6260

420 Wilkinson Dr
FL 2
Dyersburg, TN 38024-2085
Phone (731) 285-5133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36927TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Quitman Community Hospital Current Accepting new patients
WT Medical Associates Family CurrentSince Aug 16, 2024 Accepting new patients
Quitman Community Hospital CurrentSince Jan 20, 2024 Accepting new patients
WT Medical Associates CurrentSince Aug 16, 2024 Accepting new patients
Quitman Community Hospital CurrentSince Jan 20, 2024 Accepting new patients

Locations

340 Getwell St
Marks, MS 38646
Phone (662) 326-8031

186 Hospital Dr
Camden, TN 38320
Phone (731) 584-3151

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

101 Jackson Walk Plz
Jackson, TN 38301
Phone (731) 421-6950

1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/f327cec7-4de5-4375-82d1-b7722f053133

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 2

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1508637224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SPANISH GROVE RD",
            "city": "BUENA VISTA",
            "state": "TN",
            "postal_code": "383183418",
            "telephone_number": "731-535-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 UNION UNIVERSITY DR STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053856",
            "telephone_number": "731-664-0103",
            "fax_number": "731-265-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "APRIL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.