Individual provider Active NPI

Anna Noel Nerren, FNP

  • Family Nurse Practitioner
  • Tazewell, TN
National Provider Identifier
1659086635
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33183 Issued in TN
Practice address
1754 N Broad St
Tazewell, TN 37879-4365
Phone
(423) 491-7444
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 33183 TN Primary

Addresses

Primary practice location

1754 N Broad St
Tazewell, TN 37879-4365

Mailing address

PO Box 161
Cumberland Gap, TN 37724-0161
Phone (423) 930-6869

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
I20230523002337 TN Practitioner - Nurse Practitioner 9234595844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33183TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tazewell Orthopaedic & Arthritis Clinic, PC CurrentSince Mar 10, 2023 Accepting new patients

Locations

1830 Main St
Tazewell, TN 37879
Phone (423) 491-7444

1754 N Broad St
Tazewell, TN 37879
Phone (423) 491-7444

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1659086635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "CUMBERLAND GAP",
            "state": "TN",
            "postal_code": "377240161",
            "telephone_number": "423-930-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 N BROAD ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794365",
            "telephone_number": "423-491-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERREN",
        "first_name": "ANNA",
        "middle_name": "NOEL",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.