Individual provider Active NPI

Deborah Ann Wells, MSN, APRN-BC

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1659307890
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000011670 Issued in TN
Practice address
2000 Stein Drive
Chattanooga, TN 37421
Phone
(423) 648-8480
Fax
(423) 648-8481
NPI assigned
Jun 22, 2006
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000011670 TN Primary

Addresses

Primary practice location

2000 Stein Drive
Chattanooga, TN 37421

Mailing address

P.O. Box 24387
Chattanooga, TN 37422
Phone (423) 648-8480

Other names 1

  • Deborah Ann Slater Former name

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
I20060426000548 TN Practitioner - Nurse Practitioner 0446260103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Stein Dr
Chattanooga, TN 37421-1690

2000 Stein Dr
Chattanooga, TN 37421-7217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000011670TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Pain Management, PC Nurse Practitioner CurrentSince Oct 17, 2005 Accepting new patients
Consultants in Pain Management, PC CurrentSince Oct 17, 2005 Accepting new patients

Locations

135 N Meadows Dr
Athens, TN 37303
Phone (423) 507-8067

135 N Meadows Dr
Ste C
Athens, TN 37303
Phone (423) 648-8480

2000 Stein Dr
Chattanooga, TN 37421
Phone (423) 648-8480

980 Highway 28
Ste 101
Jasper, TN 37347
Phone (423) 648-8480

Interoperability endpoints

  • Direct secure messaging: deborah.slater@conpainman.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1659307890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 24387",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37422",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STEIN DRIVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-648-8480",
            "fax_number": "423-648-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000011670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SLATER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.