Individual provider Active NPI

Joyce Bumbalough, FNP

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1871961755
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20421 Issued in TN
Practice address
336 N Peachtree Ave
Cookeville, TN 38501-2551
Phone
(931) 651-1770
Fax
(931) 651-1760
NPI assigned
Sep 9, 2015
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 20421 TN Primary

Addresses

Primary practice location

336 N Peachtree Ave
Cookeville, TN 38501-2551

Mailing address

336 N Peachtree Ave
Cookeville, TN 38501-2551
Phone (931) 651-1770

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
I20151124001711 TN Practitioner - Nurse Practitioner 8123328168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Family Practice Associates, LLCGroup PAC ID 3375736606, 4 clinicians

Practice addresses (Care Compare)

1080 Neal St
Suite 103
Cookeville, TN 38501-0943
Phone (931) 520-1529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20421TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Family Practice Associates, LLC CurrentSince Aug 13, 2018 Accepting new patients

Locations

1080 Neal St
Ste 103
Cookeville, TN 38501
Phone (931) 520-1529

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1871961755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 N PEACHTREE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012551",
            "telephone_number": "931-651-1770",
            "fax_number": "931-651-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 N PEACHTREE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012551",
            "telephone_number": "931-651-1770",
            "fax_number": "931-651-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBALOUGH",
        "first_name": "JOYCE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.