Brenda Badawi, APN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20259 Issued in TN

Practice address

153 E Broadway Blvd
Jefferson City, TN 37760-2517

Phone

(865) 471-5110

NPI assigned

Nov 6, 2015

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, WI2 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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic LLCGroup PAC ID 1951721802, shared by 11 NPIs, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bbadawi18459@carelonhealth.direct-ci.com

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.

• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  WI

  Medicare reassignment
• Mountain Valley RX 05 Inc

  dba Jeffco Drug Center in Jefferson City

  • Community/Retail Pharmacy
  • Jefferson City, TN
  • NPI 1043364490
  NPD (past)
• Access Medical Clinic LLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Crawfordsville, IN
  • NPI 1831810431
  NPD (past)
• Caremore Health Medical Partners, PC

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1124640503
  NPD (past)

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1598138992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 STRAWBERRY DR",
            "city": "NEW MARKET",
            "state": "TN",
            "postal_code": "378204852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602517",
            "telephone_number": "865-471-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Strawberry Dr",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "TN",
            "postal_code": "378204852",
            "country_code": "US",
            "telephone_number": "865-399-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADAWI",
        "first_name": "BRENDA",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M Allum III, MD
• Cindy Anderson
• Apria Healthcare LLC
• Cherie Renee Archambeault, O.D.
• Karly Atchley
• Richard Baird, M.D.
• Brent A Baker, M.D.
• Baptist Primary & Senior Healthcare Clinic Jefferson City
• Paris Bath
• David M Beauchamp

• Family Nurse Practitioner in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.