Individual provider Active NPI

Frances Michelle Ridley

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1619709672
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123310 Issued in TN
Practice address
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone
(423) 595-2711
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 123310 TN Primary

Addresses

Primary practice location

2333 McCallie Ave
Chattanooga, TN 37404-3258

Mailing address

804 Betsy Pack Dr
Jasper, TN 37347-3015
Phone (423) 595-2711

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
I20241210001172 TN Practitioner - Nurse Practitioner 8628504974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Access HealthcareGroup PAC ID 6406942101, 10 clinicians

Practice addresses (Care Compare)

4665 Main St
Suite 2
Jasper, TN 37347-4604
Phone (423) 939-2915

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123310TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Access Healthcare Single Specialty CurrentSince Sep 3, 2024 Accepting new patients

Locations

2372 Lifestyle Way
Ste 152
Chattanooga, TN 37421
Phone (423) 648-6483

400 Stuart Rd NE
Ste 1
Cleveland, TN 37312
Phone (423) 303-7966

15367 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-9200

5741 Highway 153
Ste 117
Hixson, TN 37343
Phone (423) 870-8088

4665 Main St
Ste 2
Jasper, TN 37347
Phone (423) 939-2915

134 Creekside Dr
Ste 1
Ocoee, TN 37361
Phone (423) 299-9491

14821 Dayton Pike
#B
Sale Creek, TN 37373
Phone (423) 486-9451

Interoperability endpoints

  • Direct secure messaging: frances.ridley.1@29367.direct.athenahealth.com

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.

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1619709672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BETSY PACK DR",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473015",
            "telephone_number": "423-595-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043258",
            "telephone_number": "423-595-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "FRANCES",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "123310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.