Individual provider Active NPI

Katie Goodman Hill, APN FNP-BC

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1831449990
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16993 Issued in TN
Practice address
100 Hunters LN
Tullahoma, TN 37388-8263
Phone
(931) 455-4616
Fax
(931) 455-2362
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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 16993 TN Primary

Addresses

Primary practice location

100 Hunters LN
Tullahoma, TN 37388-8263

Mailing address

100 Hunters LN
Tullahoma, TN 37388-8263
Phone (931) 455-4616

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
I20130624000323 TN Practitioner - Nurse Practitioner 4587803549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 S College St
Winchester, TN 37398-2414
Phone (931) 213-3976

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16993TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Jul 19, 2017 Accepting new patients
Henson'S Family Medical LLC Family Current Accepting new patients
Good Health Clinic Professional Limited Liability Company Family CurrentSince Jun 8, 2021 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jul 19, 2017 Accepting new patients
Tennessee Pain Management and Rehabilitation PC Current Accepting new patients
Dr. Karen a. Tidmore Family PastSince Jan 14, 2015 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

2008 Decherd Blvd
Decherd, TN 37324
Phone (931) 962-9000

100 Hunters Ln
Tullahoma, TN 37388
Phone (931) 455-4616

1431 S College St
Winchester, TN 37398
Phone (931) 213-3976

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

1383 S College St
Winchester, TN 37398
Phone (931) 962-3500

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1831449990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "931-455-4616",
            "fax_number": "931-455-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTERS LN",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888263",
            "telephone_number": "931-455-4616",
            "fax_number": "931-455-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN HILL",
        "first_name": "KATIE",
        "credential": "APN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.