Theresa Herrin Hill, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000005608 Issued in TN

Practice address

306 N Chancery St
McMinnville, TN 37110-2048

Phone

(931) 474-4700

Fax

(931) 474-4701

NPI assigned

Aug 9, 2006

Last updated

Feb 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mrs. Theresa Herrin Former name

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

Specialty

Nurse Practitioner

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Wellness LLCGroup PAC ID 2365820586, 13 clinicians

Family Care Clinic LLCGroup PAC ID 8729225677, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thill@familycareclinic.medinformatixdirect.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Family Care Clinic LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1780924456

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Family Care Wellness LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1588325310

  5% Or Greater Direct Ownership Interest

  CMS ownership

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 Care Clinic LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1780924456
  Medicare reassignment Care Compare group NPD Authorized official
• Family Care Wellness LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1588325310
  Medicare reassignment Care Compare group NPD
• Blankenship Medical Group PLLC

  • Family Medicine Physician
  • McMinnville, TN
  • NPI 1104849116
  NPD (past)
• Pharmacists Home Medical Equipment LLC

  • Oxygen Equipment & Supplies (DME)
  • McMinnville, TN
  • NPI 1023111416
  NPD (past)
• Rene C del Valle MD PLLC

  • Obstetrics & Gynecology Physician
  • Manchester, TN
  • NPI 1528150596
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1699785709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102048",
            "telephone_number": "931-474-4700",
            "fax_number": "931-474-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102048",
            "telephone_number": "931-474-4700",
            "fax_number": "931-474-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "THERESA",
        "middle_name": "HERRIN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000005608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3649680",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01032615",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HERRIN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anita Henderson
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• Jahir Alejandro Hernandez, A-LPC/MHSP
• April Dawn Hibdon, LCSW
• Hickory Creek Dental Arts, PC
• Karen Lynn Hinson, PT
• Stella A Hixson, M.ED., RD, LDN
• Ashley Nicole Hobbs, RN
• Kenneth L Holbert, MD
• Reed Joseph Holdridge, MD

• Nurse Practitioner in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.