Organization Active NPI

Michie Healthcare Associates, LLC

  • Family Nurse Practitioner
  • Michie, TN
National Provider Identifier
1841339777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006345 Issued in TN
Legal business name
MICHIE HEALTHCARE ASSOCIATES, LLC
Practice address
5823 Highway 22
Michie, TN 38357-5175
Phone
(731) 239-9470
Fax
(901) 239-9472
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dee Blakney, FNP
Title
Partner
Phone
(731) 239-9470

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006154 TN
Family Nurse Practitioner 363LF0000X APN0000005664 TN
Family Nurse Practitioner 363LF0000X APN0000006345 TN Primary

Addresses

Primary practice location

5823 Highway 22
Michie, TN 38357-5175

Mailing address

5823 Highway 22
Michie, TN 38357-5175
Phone (731) 239-9470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020001049 TN Part B Supplier - Clinic/Group Practice 7315963139 Receives reassigned benefits from 2 practitioners
Practice locations: Michie, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1043904Michie Healthcare Associates LLC5823 Highway 22 South, Michie, TN 38357Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841339777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 HIGHWAY 22",
            "city": "MICHIE",
            "state": "TN",
            "postal_code": "383575175",
            "telephone_number": "731-239-9470",
            "fax_number": "901-239-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 HIGHWAY 22",
            "city": "MICHIE",
            "state": "TN",
            "postal_code": "383575175",
            "telephone_number": "731-239-9470",
            "fax_number": "901-239-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIE HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKNEY",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "731-239-9470",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006154",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.