Individual provider Active NPI

Andrea D Vivian, CRNP

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1710740915
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35346 Issued in TN
Practice address
970 Cox Creek Pkwy
Florence, AL 35633-1631
Phone
(256) 760-1655
NPI assigned
Feb 1, 2024
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 35346 TN Primary

Addresses

Primary practice location

970 Cox Creek Pkwy
Florence, AL 35633-1631

Mailing address

970 Cox Creek Pkwy
Florence, AL 35633-1631
Phone (256) 760-1655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241119000559 TN Practitioner - Nurse Practitioner 8628503356 Reassigns benefits to 1 organization
I20251119001205 AL Practitioner - Nurse Practitioner 8628503356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Med of Tennessee LLCGroup PAC ID 3971896754, 6 clinicians
Express Med of Alabama LLCGroup PAC ID 5496041378, 9 clinicians

Practice addresses (Care Compare)

538 N Military St
Suite D
Loretto, TN 38469-1203
Phone (931) 853-5356

726 N Locust Ave
Lawrenceburg, TN 38464-2865
Phone 93176670565

726 N Locust Ave
1St FL Suite a
Lawrenceburg, TN 38464-2802
Phone (931) 244-7402

970 Cox Creek Pkwy
Florence, AL 35633-1631
Phone (256) 760-1655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35346TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Med of Alabama LLC CurrentSince Nov 1, 2025 Accepting new patients
Express Med of Tennessee, LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

970 Cox Creek Pkwy
Florence, AL 35633
Phone (256) 760-1655

726 N Locust Ave
Ste 1A
Lawrenceburg, TN 38464
Phone (931) 244-7402

726 N Locust Ave
Ste 1D
Lawrenceburg, TN 38464
Phone (931) 766-7056

538 N Military St
Ste D
Loretto, TN 38469
Phone (931) 853-5356

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.

Hospital & facility affiliations 4

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1710740915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331631",
            "telephone_number": "256-760-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331631",
            "telephone_number": "256-760-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.