Individual provider Active NPI

Annie Rose Hogan, CPNP-PC, MSN

  • Pediatric Nurse Practitioner
  • Pleasant View, TN
National Provider Identifier
1679106447
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000027128 Issued in TN
Practice address
238 Centre St Ste 100
Pleasant View, TN 37146-7081
Phone
(615) 746-4040
Fax
(615) 746-4044
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000027128 TN Primary

Addresses

Primary practice location

238 Centre St Ste 100
Pleasant View, TN 37146-7081

Mailing address

238 Centre St Ste 100
Pleasant View, TN 37146-7081
Phone (615) 746-4040

Other names 1

  • Annie Rose Hickox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APN0000027128TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Pediatrics PLLC CurrentSince May 12, 2024 Accepting new patients
Grace Pediatrics PLLC Pediatrics PastSince Feb 23, 2020 Accepting new patients

Locations

238 Centre St
Ste 100
Pleasant View, TN 37146
Phone (615) 746-4040

Interoperability endpoints

  • Direct secure messaging: ahickox18141@direct.vumc.org

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1679106447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CENTRE ST STE 100",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467081",
            "telephone_number": "615-746-4040",
            "fax_number": "615-746-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CENTRE ST STE 100",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467081",
            "telephone_number": "615-746-4040",
            "fax_number": "615-746-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "ANNIE",
        "middle_name": "ROSE",
        "credential": "CPNP-PC, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000027128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "HICKOX",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant View, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.