Active NPI
Ana Hume, LPC
- Professional Counselor
- Maryville, TN
National Provider Identifier
1821148552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0848
- Practice address
- 210 Simmons St
Maryville, TN 37801-4750 - Phone
- (865) 970-9800
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0848 | TN | Primary |
Addresses
Primary practice location
210 Simmons St
Maryville, TN 37801-4750
Mailing address
2900 Tazewell Pike
Ste G
Knoxville, TN 37918-1880
Phone (865) 742-6488
Other practice location 1
2900 Tazewell Pike
Ste G
Knoxville, TN 37918-1880
Phone (865) 742-6488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-4481954 | Other | TN | TN TAX IDENTIFICATION NUM |
| 1506720 | Medicaid | TN | |
| Q033994 | Medicaid | TN |
Other names 1
- Nanci Lee Chaffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0848 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Medical Center | Past | Accepting new patients | |
| Parkwest Medical Center | Past | Accepting new patients | |
| New Path PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
- NPI 1801524624
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maryville, TN
- NPI 1699757609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821148552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 TAZEWELL PIKE",
"address_2": "STE G",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181880",
"telephone_number": "865-742-6488",
"fax_number": "865-689-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SIMMONS ST",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014750",
"telephone_number": "865-970-9800"
}
],
"practiceLocations": [
{
"address_1": "2900 Tazewell Pike",
"address_2": "Ste G",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379181880",
"country_code": "US",
"telephone_number": "865-742-6488",
"fax_number": "865-689-4443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUME",
"first_name": "ANA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "0848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN TAX IDENTIFICATION NUM",
"identifier": "20-4481954",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506720",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q033994",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCI",
"last_name": "CHAFFIN",
"middle_name": "LEE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.