Individual provider Active NPI

Laura E Azima, FNP

  • Family Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1730320243
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13933 Issued in TN
Practice address
1406 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-4332
Phone
(423) 638-9595
Fax
(423) 638-1527
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 13933 TN Primary

Addresses

Primary practice location

1406 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-4332

Mailing address

1406 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-4332
Phone (423) 638-9595

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
I20091109000039 TN Practitioner - Nurse Practitioner 1355489618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergic Diseases Asthma and Immunology Clinic PCGroup PAC ID 7416950704, 5 clinicians

Practice addresses (Care Compare)

2012 Brookside Dr
Suite 11
Kingsport, TN 37660-4645
Phone (423) 378-3131

321 Midway Medical Park
Suite 3
Bristol, TN 37620-1652
Phone (423) 968-3440

403 Princeton Rd
Suite 4
Johnson City, TN 37601-2040
Phone (423) 928-0113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergic Diseases Asthma & Immunology Clinic PC CurrentSince Dec 20, 2017 Accepting new patients

Locations

321 Midway Medical Park
Ste 3
Bristol, TN 37620
Phone (423) 968-3440

1406 Tusculum Blvd
Ste 2500
Greeneville, TN 37745
Phone (423) 638-9595

403 Princeton Rd
Ste 4
Johnson City, TN 37601
Phone (423) 928-0113

2012 Brookside Dr
Ste 11
Kingsport, TN 37660
Phone (423) 378-3131

7417 Kingston Pike
Ste 101
Knoxville, TN 37919
Phone (865) 584-4112

Interoperability endpoints

  • Direct secure messaging: laura.azima.1@22384.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1730320243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-638-9595",
            "fax_number": "423-638-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 2500",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-638-9595",
            "fax_number": "423-638-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMA",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.