Active NPI
Elizabeth A Trent-Metz, MSN RNCS FNP 106155
- Nurse Practitioner
- Rogersville, TN
National Provider Identifier
1518970649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN7216
- Practice address
- 116 W Broadway St
Rogersville, TN 37857-3247 - Phone
- (423) 272-7651
- Fax
- (423) 272-6177
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN7216 | TN | Primary |
| Nurse Practitioner | 363L00000X | RN106155 | TN |
Addresses
Primary practice location
116 W Broadway St
Rogersville, TN 37857-3247
Mailing address
PO Box 850
Rogersville, TN 37857-0850
Phone (423) 272-7651
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3729687 | Medicaid | TN | |
| 4045020 | Other | MAGELLAN PINNACLE | |
| 4045020 | Other | MAGELLAN NAVIGATOR | |
| 4045020 | Other | MAGELLAN SUMMIT | |
| 620582605 | Other | TRICARE SOUTH | |
| 334969 | Other | VALUE OPTIONS GROUP | |
| 351654200 | Other | DOL WORKERS COMP | |
| 620582605 | Other | THREE RIVERS PROVI | |
| 620582605Y7 | Other | UBH JOHN DEERE | |
| 3908734 | Medicaid | TN | |
| 620582605 | Other | MENTAL HEALTH NETW | |
| 620582605 | Other | PHCS | |
| 2246806 | Other | CIGNA MCC | |
| 620582605 | Other | INITIAL GROUP | |
| 7884520 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7216 | TN | MD | Professional Counselor |
| APRN7216 | TN | MD | Nurse Practitioner |
| RN106155 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Nurse Practitioner | Past | Accepting new patients |
| Takoma Hospital & Sanitarium Training School, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
Nurse Practitioner
-
- Psychiatric Hospital Unit
- Greeneville, TN
- NPI 1811915838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1518970649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378570850",
"telephone_number": "423-272-7651",
"fax_number": "423-272-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W BROADWAY ST",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378573247",
"telephone_number": "423-272-7651",
"fax_number": "423-272-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT-METZ",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MSN RNCS FNP 106155",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APRN7216",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "RN106155",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3729687",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "4045020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "4045020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "4045020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "620582605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS GROUP",
"identifier": "334969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL WORKERS COMP",
"identifier": "351654200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS PROVI",
"identifier": "620582605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH JOHN DEERE",
"identifier": "620582605Y7",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3908734",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETW",
"identifier": "620582605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "620582605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MCC",
"identifier": "2246806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INITIAL GROUP",
"identifier": "620582605",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7884520",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.