Individual provider Active NPI

Stacey A Given, NP

  • Family Nurse Practitioner
  • Lenoir City, TN
National Provider Identifier
1790736841
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006671 Issued in TN
Practice address
2771 Highway 11 E Ste 1
Lenoir City, TN 37772-6381
Phone
(865) 816-3393
Fax
(865) 816-3410
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Centers of East Tennessee, P.C. 9 clinicians

Practice addresses (Care Compare)

4021 Keith St NW
Cleveland, TN 37312-4341
Phone (423) 476-2464

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
I20060421000402 TN Practitioner - Nurse Practitioner 9537179460 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000006671TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of East Tennessee, P.C. CurrentSince Feb 19, 2025 Accepting new patients
Tennessee Preferred Medical, LLC PastSince Nov 14, 2012 Accepting new patients
Behavior Health Consultants LLC Family PastSince May 10, 2020 Accepting new patients
Premier Health, LLC Nurse Practitioner PastSince Apr 24, 2013 Accepting new patients
Superior Health Solutions LLC PastSince Jun 1, 2009 Accepting new patients
Tennessee Pain Consultants PC Family Past Accepting new patients
East Tennessee Neuropathy, PC Nurse Practitioner PastSince Apr 1, 2013 Accepting new patients

Locations

4021 Keith St NW
Cleveland, TN 37312
Phone (423) 476-2464

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006671 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

2771 Highway 11 E Ste 1
Lenoir City, TN 37772-6381

Mailing address

2771 Highway 11 E Ste 1
Lenoir City, TN 37772-6381
Phone (865) 816-3393

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1790736841MedicaidTN

Other names 1

NPPES NPI Registry
  • Stacey A Ahler Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL Backtonupain@gmail.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2020.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1790736841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 HIGHWAY 11 E STE 1",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726381",
            "telephone_number": "865-816-3393",
            "fax_number": "865-816-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 HIGHWAY 11 E STE 1",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726381",
            "telephone_number": "865-816-3393",
            "fax_number": "865-816-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVEN",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790736841",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Backtonupain@gmail.com",
            "affiliation": "N",
            "address_1": "2771 Highway 11 E Ste 1",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377726381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "AHLER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.