Individual provider Active NPI

Julie Fossett, FNP

  • Family Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1740767417
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25209 Issued in TN
Practice address
100 Lantana Rd Ste 202
Crossville, TN 38555-1903
Phone
(931) 484-5141
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 25209 TN Primary

Addresses

Primary practice location

100 Lantana Rd Ste 202
Crossville, TN 38555-1903

Mailing address

304 Stonecrest Loop
Crossville, TN 38571-8234
Phone (256) 601-9032

Other identifiers 1

IdentifierTypeStateIssuer
Q045998MedicaidTN

Other names 1

  • Prof. Julie Fossett Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fossett.julie@covenanthealth.cernerdirect.com

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
I20190307003123 TN Practitioner - Nurse Practitioner 3072852086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

100 Lantana Rd
Suite 202
Crossville, TN 38555-1903
Phone (931) 484-5141

Hospital & facility affiliations

  • Quality Home Health Home health agency, Jamestown, TN, CCN 447406
  • Amedisys Home Health Home health agency, Livingston, TN, CCN 447260
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Dec 29, 2018 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Dec 29, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 2, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 2, 2021 Accepting new patients
Crossville Medical Group PA Past Accepting new patients

Locations

665 N Main St
Crossville, TN 38555
Phone (931) 337-0510

132 Stonehenge Dr
Ste 109
Crossville, TN 38558

100 Lantana Rd
Ste 202
Crossville, TN 38555
Phone (931) 484-5141

60 Crossville Medical Dr
Crossville, TN 38555
Phone (931) 707-8790

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: fossett.julie@covenanthealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1740767417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 STONECREST LOOP",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385718234",
            "telephone_number": "256-601-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LANTANA RD STE 202",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385551903",
            "telephone_number": "931-484-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSETT",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045998",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fossett.julie@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "100 Lantana Rd Ste 202",
            "city": "Crossville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385551903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FOSSETT",
            "prefix": "PROF.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.