Active NPI
Laura E Azima, FNP
- Family Nurse Practitioner
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergic Diseases Asthma & Immunology Clinic PC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.
- 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.