Individual provider Active NPI

Tatiane Almeida De Couto

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1619584778
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000032525 Issued in TN
Practice address
2339 McCallie Ave Ste 300
Chattanooga, TN 37404-3209
Phone
(423) 508-6733
Fax
(423) 508-6744
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 APN0000032525 TN Primary

Addresses

Primary practice location

2339 McCallie Ave Ste 300
Chattanooga, TN 37404-3209

Mailing address

11732 Bates Rd
Apison, TN 37302-9716
Phone (352) 642-3735

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
I20240528000671 TN Practitioner - Nurse Practitioner 6204278914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

2339 McCallie Ave
Suite 300
Chattanooga, TN 37404-3209
Phone (423) 508-6733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000032525TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Family CurrentSince May 5, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2339 McCallie Ave
Ste 300
Chattanooga, TN 37404
Phone (423) 508-6733

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1619584778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11732 BATES RD",
            "city": "APISON",
            "state": "TN",
            "postal_code": "373029716",
            "telephone_number": "352-642-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MCCALLIE AVE STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043209",
            "telephone_number": "423-508-6733",
            "fax_number": "423-508-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE COUTO",
        "first_name": "TATIANE",
        "middle_name": "ALMEIDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000032525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.