Individual provider Active NPI

Willeen Allen Roy, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1760014476
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31615 Issued in TN
Practice address
6802 Lee Hwy
Chattanooga, TN 37421-2444
Phone
(252) 214-2410
NPI assigned
Feb 11, 2020
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 31615 TN Primary

Addresses

Primary practice location

6802 Lee Hwy
Chattanooga, TN 37421-2444

Mailing address

6802 Lee Hwy
Chattanooga, TN 37421-2444
Phone (252) 214-2410

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100

Other practice location 2

6802 Lee Hwy
Chattanooga, TN 37421-2444
Phone (252) 214-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810001050 NC Practitioner - Nurse Practitioner 1759706617 Reassigns benefits to 1 organization
I20230309000090 TN Practitioner - Nurse Practitioner 1759706617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

6802 Lee Hwy
Chattanooga, TN 37421-2444
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31615TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaful Double Portion Family Practice, Inc Family CurrentSince Nov 15, 2022 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Oct 10, 2024 Accepting new patients
Carolina Clinic for Health and Wellness PA CurrentSince Sep 1, 2020 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients

Locations

2459 Emerald Pl
Ste 102
Greenville, NC 27834
Phone (252) 695-0424

6802 Lee Hwy
Chattanooga, TN 37421
Phone (423) 894-3836

3740 Ocoee Pl NW
Ste 101
Cleveland, TN 37312
Phone (423) 339-7107

6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1760014476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212444",
            "telephone_number": "252-214-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212444",
            "telephone_number": "252-214-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6802 Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374212444",
            "country_code": "US",
            "telephone_number": "252-214-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "WILLEEN",
        "middle_name": "ALLEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.