Individual provider Active NPI

Audra L. Meeks, ANP

  • Family Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1730338682
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000013554 Issued in TN
Practice address
2717 Murfreesboro Rd
Antioch, TN 37013-2083
Phone
(615) 365-6585
Fax
(615) 361-5670
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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 APN0000013554 TN Primary

Addresses

Primary practice location

2717 Murfreesboro Rd
Antioch, TN 37013-2083

Mailing address

2717 Murfreesboro Rd
Antioch, TN 37013-2083
Phone (615) 365-6585

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
I20101110000565 TN Practitioner - Nurse Practitioner 8628263134 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000013554TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Express Care, LLC Family CurrentSince Jan 14, 2013 Accepting new patients
Tullahoma Hma LLC PastSince Jan 14, 2013 Accepting new patients
Bell Family Medical Center Past Accepting new patients

Locations

1856 Decherd Blvd
Decherd, TN 37324
Phone (931) 962-4082

1211 Dinah Shore Blvd
Winchester, TN 37398
Phone (931) 967-6669

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1730338682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 MURFREESBORO RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132083",
            "telephone_number": "615-365-6585",
            "fax_number": "615-361-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MURFREESBORO RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132083",
            "telephone_number": "615-365-6585",
            "fax_number": "615-361-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "AUDRA",
        "middle_name": "L.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.