Individual provider Active NPI

Donna Cheryll Valadez, FNP

  • Family Nurse Practitioner
  • Etowah, TN
National Provider Identifier
1790035863
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000016894 Issued in TN
Practice address
723 N Tennessee Ave
Etowah, TN 37331-1754
Phone
(423) 263-2100
Fax
(423) 781-7662
NPI assigned
Sep 14, 2012
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 APN0000016894 TN Primary

Addresses

Primary practice location

723 N Tennessee Ave
Etowah, TN 37331-1754

Mailing address

PO Box 808
Kingston, TN 37763-0808
Phone (865) 224-7172

Other practice location 1

3959 US 411
Madisonville, TN 37354
Phone (423) 442-2121

Other practice location 2

401 W Washington Ave
Athens, TN 37303-3468
Phone (423) 263-2100

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
I20121218000407 TN Practitioner - Nurse Practitioner 9638321789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000016894TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Rapidcare LLC PastSince Sep 19, 2012 Accepting new patients

Locations

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

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1790035863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377630808",
            "telephone_number": "865-224-7172",
            "fax_number": "865-224-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N TENNESSEE AVE",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311754",
            "telephone_number": "423-263-2100",
            "fax_number": "423-781-7662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3959 US 411",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TN",
            "postal_code": "37354",
            "country_code": "US",
            "telephone_number": "423-442-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373033468",
            "country_code": "US",
            "telephone_number": "423-263-2100",
            "fax_number": "423-781-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "DONNA",
        "middle_name": "CHERYLL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

Sources for this page

Verify at the official NPI Registry.