Individual provider Active NPI

Cathy Elizabeth Dorris, FNP

  • Family Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1598859308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10647 Issued in TN
Practice address
1560 N Broad St
Lexington, TN 38351-4765
Phone
(731) 967-8813
Fax
(731) 967-8815
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10647 TN Primary

Addresses

Primary practice location

1560 N Broad St
Lexington, TN 38351-4765

Mailing address

400 Deere Rd
Lexington, TN 38351-7394
Phone (731) 968-5519

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
I20070504000291 TN Practitioner - Nurse Practitioner 8325144538 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10647TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexcare Clinic Inc Family CurrentSince Oct 16, 2006 Accepting new patients

Locations

1560 N Broad St
Lexington, TN 38351
Phone (731) 967-8813

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598859308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEERE RD",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383517394",
            "telephone_number": "731-968-5519",
            "fax_number": "731-967-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N BROAD ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383514765",
            "telephone_number": "731-967-8813",
            "fax_number": "731-967-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "CATHY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.