Active NPI
Katie Goodman Hill, APN FNP-BC
- Family Nurse Practitioner
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16993
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Vanderbilt Tullahoma-Harton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16993 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Henson'S Family Medical LLC | Family | Current | Accepting new patients |
| Good Health Clinic Professional Limited Liability Company | Family | Current | Accepting new patients |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Tennessee Pain Management and Rehabilitation PC | Current | Accepting new patients | |
| Dr. Karen a. Tidmore | Family | Past | 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.
-
- Family Nurse Practitioner
- Winchester, TN
- NPI 1750959318
Family, TN
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- Interventional Pain Medicine Physician
- Decherd, TN
- NPI 1437459047
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, TN
- NPI 1467408781
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.