Active NPI
Rachel Michelle Tolliver, APRN
- Neonatal Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1730868290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 34433
- Practice address
- 1042 E 3Rd St Ste 200
Chattanooga, TN 37403-2110 - Phone
- (423) 624-4846
- NPI assigned
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 0000220342 | TN | |
| Neonatal Nurse Practitioner | 363LN0000X | 34433 | TN | Primary |
Addresses
Primary practice location
1042 E 3Rd St Ste 200
Chattanooga, TN 37403-2110
Mailing address
3611 Fountain Ave
Chattanooga, TN 37412-1834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000220342 | TN | MD | Neonatal Intensive Care Registered Nurse |
| 34433 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespring Community Health | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Chattanooga, TN
- NPI 1699079673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1730868290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 FOUNTAIN AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374121834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 E 3RD ST STE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032110",
"telephone_number": "423-624-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLIVER",
"first_name": "RACHEL",
"middle_name": "MICHELLE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "TN",
"license": "0000220342",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TN",
"license": "34433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.