Individual provider Active NPI

Emily Kirk Brewer, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1841455060
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13629 Issued in TN
Practice address
651 E 4TH St Ste 302
Chattanooga, TN 37403-1935
Phone
(423) 977-7546
Fax
(423) 904-5233
NPI assigned
Jul 28, 2008
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2008004179 TN
Family Nurse Practitioner 363LF0000X 13629 TN Primary

Addresses

Primary practice location

651 E 4TH St Ste 302
Chattanooga, TN 37403-1935

Mailing address

651 E 4TH St Ste 302
Chattanooga, TN 37403-1935
Phone (423) 977-7546

Other practice location 1

2051B Hamill Rd
Suite 301A
Hixson, TN 37343-4085
Phone (423) 870-3376 ext. 1006

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
I20081110000519 TN Practitioner - Nurse Practitioner 4082772975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Center PLLCGroup PAC ID 5698143980, 3 clinicians

Practice addresses (Care Compare)

651 E 4TH St
Suite 302
Chattanooga, TN 37403-1935
Phone (423) 977-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008004179TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Derm Center, PLLC Family CurrentSince Aug 19, 2022 Accepting new patients

Locations

651 E 4th St
Ste 302
Chattanooga, TN 37403
Phone (423) 977-7546

Interoperability endpoints

  • Direct secure messaging: ebrewer@thedermcentertn.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1841455060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E 4TH ST STE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031935",
            "telephone_number": "423-977-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E 4TH ST STE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031935",
            "telephone_number": "423-977-7546",
            "fax_number": "423-904-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051B Hamill Rd",
            "address_2": "Suite 301A",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373434085",
            "country_code": "US",
            "telephone_number": "423-870-3376 x1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "EMILY",
        "middle_name": "KIRK",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2008004179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.