Individual provider Active NPI

Angela Dawne Thompson, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1508892415
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015022 Issued in TN
Practice address
6863 Robin Dr
Chattanooga, TN 37421-1752
Phone
(912) 667-5351
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 APN0000015022 TN Primary

Addresses

Primary practice location

6863 Robin Dr
Chattanooga, TN 37421-1752

Mailing address

6863 Robin Dr
Chattanooga, TN 37421-1752
Phone (912) 667-5351

Other identifiers 2

IdentifierTypeStateIssuer
4103176OtherTNBCBS
1519465MedicaidTN

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
I20100720000351 TN Practitioner - Nurse Practitioner 1951319334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189
Phone (940) 766-0281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000015022TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Fast Access Healthcare CurrentSince Nov 20, 2023 Accepting new patients
Cleveland Pain Management, PC Past Accepting new patients
Cleveland Back & Neck Clinic, PLLC Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Georgia Emergency Associates Past Accepting new patients
Deroos Family & Pediatric Health Center PC Past Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

2372 Lifestyle Way
Ste 152
Chattanooga, TN 37421
Phone (423) 648-6483

400 Stuart Rd NE
Ste 1
Cleveland, TN 37312
Phone (423) 303-7966

15367 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-9200

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

4665 Main St
Ste 2
Jasper, TN 37347
Phone (423) 939-2915

3051 Buffalo Rd
Lawrenceburg, TN 38464
Phone (931) 762-7518

134 Creekside Dr
Ste 1
Ocoee, TN 37361
Phone (423) 299-9491

14821 Dayton Pike
#B
Sale Creek, TN 37373
Phone (423) 486-9451

Interoperability endpoints

  • Direct secure messaging: angela.thompson.1@29367.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1508892415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 ROBIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211752",
            "telephone_number": "912-667-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6863 ROBIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211752",
            "telephone_number": "912-667-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGELA",
        "middle_name": "DAWNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4103176",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519465",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.