Individual provider Active NPI

Mary Morris, CFNP

  • Primary Care Nurse Practitioner
  • La Follette, TN
National Provider Identifier
1639143258
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN000005746 Issued in TN
Practice address
130 Independence LN
La Follette, TN 37766-3031
Phone
(423) 562-1705
NPI assigned
Feb 13, 2006
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN000005746 TN Primary

Addresses

Primary practice location

130 Independence LN
La Follette, TN 37766-3031

Mailing address

3393 Sugar Grove Valley Rd
Harriman, TN 37748-4730

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
I20111103000632 TN Practitioner - Nurse Practitioner 4880867076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health of East Tennessee IncGroup PAC ID 7618887803, 11 clinicians

Practice addresses (Care Compare)

130 Independence LN
La Follette, TN 37766-3073
Phone (423) 562-1705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000005746TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of East Tennessee, Inc CurrentSince Apr 14, 1999 Accepting new patients

Locations

130 Independence Ln
La Follette, TN 37766
Phone (423) 562-1705

130 Independence Ln
Ste 1
La Follette, TN 37766
Phone (423) 562-1705

Interoperability endpoints

  • Direct secure messaging: mary.morris.p1@direct.chetn.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1639143258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3393 SUGAR GROVE VALLEY RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377484730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663031",
            "telephone_number": "423-562-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MARY",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN000005746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.