Michael S Etter, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN98185 Issued in TN

Practice address

229 Highway 19 E
Bluff City, TN 37618-1865

Phone

(423) 538-5116

Fax

(423) 538-3861

NPI assigned

May 15, 2006

Last updated

Oct 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• US Diabetes Care and Surgical Specialty of Morristown TN

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1427610211
  Medicare reassignment NPD
• US Diabetes Care of Morristown, LLC

  • Clinic/Center
  • Morristown, TN
  • NPI 1255995916
  Medicare reassignment NPD
• State of Franklin Healthcare Associates PLLC

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1063459410
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1841241767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-538-5116",
            "fax_number": "423-538-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HIGHWAY 19 E",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376181865",
            "telephone_number": "423-538-5116",
            "fax_number": "423-538-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN98185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3905277",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affordable Dentures - Bluff City, P.C.
• Terry Brown, DMD
• Roselee Cathey
• Cassandra Lynn Cross, PA-C
• Kelly French, PT, DPT
• Frontier Health (Frontier Health Crossing Point)
• Gina George
• Brett Dylan Greene, OT
• Michael E Hill, NP-C

• Family Nurse Practitioner in Bluff City, TN
• Providers in Bluff City, 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 Oct 29, 2008; 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.