Martha M Anderson, RNC, FNP
Individual provider Active NPI Nurse Practitioner · Morristown, TN
NPI 1629049796 · NPPES record last updated Dec 1, 2015
Key facts
- NPI
- 1629049796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APN6230 (TN)
- Practice address
- 210 E Economy Rd
Morristown, TN 37814-3756 - Phone
- (423) 307-1468
- Fax
- (423) 307-1479
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN75728 | TN | MD | Registered Nurse |
| APN6230 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bean Station Family Medicine, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN75728 | TN | |
| Nurse Practitioner | 363L00000X | APN6230 | TN | Yes |
Addresses
Primary practice location
210 E Economy Rd
Morristown, TN 37814-3756
Mailing address
210 E Economy Rd
Morristown, TN 37814-3756
Phone (423) 307-1468
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100010265 | Other | TN | PHP TENNCARE |
| 3060060 | Other | TN | BCBST |
| 3060057 | Other | TN | BCBST |
| 3060056 | Other | TN | BCBST |
| 3904918 | Medicaid | TN | |
| 3037610 | Other | TN | BLUECARE-PARROTTSVILLE |
Other providers in Morristown, TN
- American Brace & Limb Enterprise, LLC
- American Brace & Limb Enterprise, PLLC
- Craig Cole Anderson
- Gene Anderson
- John M Anderson
- Morgan Anderson
- Jennifer A Antrican
- Apex Physical Therapy, P.C.
- Appalachian Healing Arts PC
- Patricia Lobo Arena
All providers in Morristown, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.