Individual provider Active NPI

Rachel Ann Anderson, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, TN
National Provider Identifier
1740560564
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16049 Issued in TN
Practice address
13 Hiles St # 8039
Lynchburg, TN 37352-8381
Phone
(931) 808-4926
NPI assigned
Aug 24, 2011
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000016049 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16049 TN Primary
Nursing Home Administrator 376G00000X NHA0000003209 TN
Registered Nurse 163W00000X RN0000091524 TN

Addresses

Primary practice location

13 Hiles St # 8039
Lynchburg, TN 37352-8381

Mailing address

1055 Womack Ridge Rd
Shelbyville, TN 37160-8043
Phone (931) 808-4926

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
I20111102000594 TN Practitioner - Nurse Practitioner 0345413662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Hiles St
Suite 8039
Lynchburg, TN 37352-8381
Phone (931) 808-4926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16049TNMDSocial Worker
RN0000091524TNMDRegistered Nurse
APN0000016049TNMDFamily Nurse Practitioner
NHA0000003209TNMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Ardent Healthcare Family CurrentSince Jan 30, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1740560564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WOMACK RIDGE RD",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371608043",
            "telephone_number": "931-808-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HILES ST # 8039",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373528381",
            "telephone_number": "931-808-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016049",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "16049",
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "TN",
            "license": "NHA0000003209",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000091524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, TN

Sources for this page

Verify at the official NPI Registry.