Individual provider Active NPI

Tina Marie Fox, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1760632434
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000013774 Issued in TN
Practice address
6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984
Phone
(423) 482-9635
Fax
(423) 973-8652
NPI assigned
Sep 30, 2008
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0808413 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000013774 TN Primary

Addresses

Primary practice location

6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984

Mailing address

6031 Shallowford Rd Ste 113
Chattanooga, TN 37421-1984
Phone (423) 482-9635

Other identifiers 1

IdentifierTypeStateIssuer
4356876OtherTNBCBS OF TENNESSEE

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
I20081210000853 TN Practitioner - Nurse Practitioner 5193886091 Practice locations: Chattanooga, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7155 Lee Hwy
Suite 300
Chattanooga, TN 37421-0802
Phone (423) 648-9290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0808413TNMDFamily Nurse Practitioner
APN0000013774TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice Alliance CurrentSince Jan 19, 2025 Accepting new patients
Foresight Virtual Mental Health Care PastSince Aug 28, 2021 Accepting new patients

Locations

1508 Tombras Ave
East Ridge, TN 37412
Phone (423) 867-4969

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, 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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1760632434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211984",
            "telephone_number": "423-482-9635",
            "fax_number": "423-973-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211984",
            "telephone_number": "423-482-9635",
            "fax_number": "423-973-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F0808413",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000013774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4356876",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.