Active NPI
Chelia Hopkins, FNP
- Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1730206129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- FNP8010
- Practice address
- 119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615-8000 - Phone
- (423) 282-1480
- Fax
- (423) 928-1353
- NPI assigned
- Mar 23, 2007
- Last updated
- Nov 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | FNP8010 | TN | Primary |
| Nurse Practitioner | 363L00000X | 0024174104 | VA |
Addresses
Primary practice location
119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615-8000
Mailing address
119 Boone Ridge Dr
Ste 201
Johnson City, TN 37615-8000
Phone (423) 282-1480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FNP3292 | Other | TN | LICENSE NUMBER |
| 1235273673 | Medicaid | VA | |
| 3341833 | Medicaid | TN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FNP8010 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd Psychological Services | Past | Accepting new patients | |
| Wayne E Tasker | Past | Accepting new patients | |
| Wayne E. Tasker and Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1730206129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "STE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376158000",
"telephone_number": "423-282-1480",
"fax_number": "423-928-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "STE 201",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376158000",
"telephone_number": "423-282-1480",
"fax_number": "423-928-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "CHELIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "FNP8010",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024174104",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "FNP3292",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235273673",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3341833",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.