Abiemwense Queen Uwaifo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17493 Issued in TN

Practice address

4805 Columbia Pike
Thompsons Station, TN 37179-5207

Phone

(615) 791-0974

NPI assigned

Apr 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Abiemwense Queen Uwaifo Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abiemwense.uwaifo.p2@direct.alegiscare.nextgenshare.com

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.

• Minuteclinic Diagnostic of Tennessee PC

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1457323164
  Medicare reassignment NPD

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1831432319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 COLUMBIA PIKE",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795207",
            "telephone_number": "615-791-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 COLUMBIA PIKE",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795207",
            "telephone_number": "615-791-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWAIFO",
        "first_name": "ABIEMWENSE",
        "middle_name": "QUEEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2023-08-14",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIEMWENSE",
            "last_name": "UWAIFO",
            "middle_name": "QUEEN",
            "credential": "ABIEMWENSE UWAIFO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennessee Behavioral Partners
• Lisa Claude Thompson, SLP
• Bradley P Tice, PHARMD, MBA, FAPHA
• Kristi Trusty
• Rachel Tyler
• Letha Vijayarajan Santhamma, PHARMACIST
• Courtney Iva Waters, FNP-C
• Alicia Rose Webb, PNP
• Samuel B Webb, M.D.
• Sarah Weiss, DDS

• Family Nurse Practitioner in Thompsons Station, TN
• Providers in Thompsons Station, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.