Active NPI
William Daniel, AGACNP-BC
- Acute Care Nurse Practitioner
- Fayetteville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN0000019978
- Practice address
- 106 Medical Center Blvd
Fayetteville, TN 37334 - Phone
- (931) 438-1100
- NPI assigned
- Jun 25, 2015
- Last updated
- Jun 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN0000019978 | TN | Primary |
Addresses
Primary practice location
106 Medical Center Blvd
Fayetteville, TN 37334
Mailing address
37 Day Road
Leoma, TN 38468
Phone (931) 279-1826
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
1265 E College St
Pulaski, TN 38478-4541
Phone (931) 363-9374
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000019978 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| App of Tennessee HM, PLLC | Current | Accepting new patients | |
| Apogee Medical Group Tennessee PC | Current | Accepting new patients |
Locations
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Hospitalist Physician
- Shelbyville, TN
- NPI 1396160768
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Tennessee Regional Health System Lawrenceburg
- Rural Acute Care Hospital
- Lawrenceburg, TN
- NPI 1114003175
-
dba Wayne Medical Center
- General Acute Care Hospital
- Waynesboro, TN
- NPI 1811927544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1629450614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 DAY ROAD",
"city": "LEOMA",
"state": "TN",
"postal_code": "38468",
"telephone_number": "931-279-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MEDICAL CENTER BLVD",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "37334",
"telephone_number": "931-438-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN0000019978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.