Individual provider Active NPI

Emily Minton, APN

  • Family Nurse Practitioner
  • Tazewell, TN
National Provider Identifier
1871919217
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000018289 Issued in TN
Practice address
951 N Broad St
Tazewell, TN 37879-4323
Phone
(865) 658-5454
Fax
(423) 259-8662
NPI assigned
Mar 10, 2014
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 APN0000018289 TN Primary

Addresses

Primary practice location

951 N Broad St
Tazewell, TN 37879-4323

Mailing address

951 N Broad St
Tazewell, TN 37879-4323
Phone (865) 658-5454

Other practice location 1

2975 Maynardville Hwy
Maynardville, TN 37807-3260
Phone (865) 658-5454

Other names 1

  • Emily Jessie Former name

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
I20150406002305 TN Practitioner - Nurse Practitioner 7719205681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ado IncGroup PAC ID 9335485309, 7 clinicians

Practice addresses (Care Compare)

951 N Broad St
Tazewell, TN 37879-4323
Phone (423) 259-8661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000018289TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ado Inc. Family CurrentSince Sep 15, 2021 Accepting new patients

Locations

2975 Maynardville Hwy
Maynardville, TN 37807
Phone (865) 658-5353

951 N Broad St
Tazewell, TN 37879
Phone (423) 259-8661

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1871919217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N BROAD ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794323",
            "telephone_number": "865-658-5454",
            "fax_number": "423-259-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N BROAD ST",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378794323",
            "telephone_number": "865-658-5454",
            "fax_number": "423-259-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 Maynardville Hwy",
            "address_purpose": "LOCATION",
            "city": "Maynardville",
            "state": "TN",
            "postal_code": "378073260",
            "country_code": "US",
            "telephone_number": "865-658-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTON",
        "first_name": "EMILY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000018289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JESSIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.