Individual provider Active NPI

Amy Dawn Boren, NP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1568814713
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021345 Issued in TN
Practice address
1032 McCallie Ave Ste 200
Chattanooga, TN 37403-2836
Phone
(423) 752-5004
Fax
(423) 414-3834
NPI assigned
Jul 11, 2016
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 APN0000021345 TN Primary

Addresses

Primary practice location

1032 McCallie Ave Ste 200
Chattanooga, TN 37403-2836

Mailing address

PO Box 440100
Nashville, TN 37244-0100

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
I20161110000531 TN Practitioner - Nurse Practitioner 0143509315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1032 McCallie Ave
Suite 200
Chattanooga, TN 37403-2836
Phone (423) 708-6495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000021345TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology,PLLC Past Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 3

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 1

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1568814713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MCCALLIE AVE STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032836",
            "telephone_number": "423-752-5004",
            "fax_number": "423-414-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.