Individual provider Active NPI

Nancy M Hurt, FNP

  • Nurse Practitioner
  • Millington, TN
National Provider Identifier
1760434229
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN0000056165 Issued in TN
Practice address
8076 US Highway 51 N
Millington, TN 38053-1734
Phone
(901) 872-8407
Fax
(901) 872-8409
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN0000056165 TN Primary

Addresses

Primary practice location

8076 US Highway 51 N
Millington, TN 38053-1734

Mailing address

99 Nelson Dr
Brighton, TN 38011-6663
Phone (901) 872-8407

Other identifiers 1

IdentifierTypeStateIssuer
3347836MedicaidTN

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
I20040621000118 TN Practitioner - Nurse Practitioner 2668457169 Practice locations: Millington, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

076 Hwy 51 N
Millington, TN 38053

8076 Hwy 51 N
Millington, TN 38053
Phone (901) 872-8407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56165TNMDUrgent Care Clinic/Center
RN0000056165TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Angela Sallie, PLLC PastSince Jul 28, 2019 Accepting new patients
Mary I Cates Landsee Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1760434229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NELSON DR",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380116663",
            "telephone_number": "901-872-8407",
            "fax_number": "901-872-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8076 US HIGHWAY 51 N",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531734",
            "telephone_number": "901-872-8407",
            "fax_number": "901-872-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN0000056165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347836",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.