Individual provider Active NPI

Chenoa Archer, NP

  • Family Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1760102289
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32029 Issued in TN
Practice address
125 W Church St
Lexington, TN 38351-2011
Phone
(731) 249-9300
Fax
(731) 249-9301
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 32029 TN Primary

Addresses

Primary practice location

125 W Church St
Lexington, TN 38351-2011

Mailing address

125 W Church St
Lexington, TN 38351-2011
Phone (731) 249-9300

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
I20221021001238 TN Practitioner - Nurse Practitioner 8820464449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

125 W Church St
Lexington, TN 38351-2011
Phone (731) 249-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32029TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 23, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 23, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1618 Highway 51 S
Ste Ab
Covington, TN 38019
Phone (931) 332-0961

2634 N Central Ave
Humboldt, TN 38343
Phone (731) 324-1526

125 W Church St
Lexington, TN 38351
Phone (731) 249-9300

108 Courtright Rd
Martin, TN 38237
Phone (731) 281-4183

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, 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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1760102289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512011",
            "telephone_number": "731-249-9300",
            "fax_number": "731-249-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512011",
            "telephone_number": "731-249-9300",
            "fax_number": "731-249-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "CHENOA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.