Beverly Coulter

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

7575 Issued in TN

Practice address

5616 Brainerd Rd
Suite 208
Chattanooga, TN 37411-5374

Phone

(423) 265-3561

Fax

(423) 265-1364

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Interoperability endpoints

• Direct secure messaging: beverlycoulter@tnmhpf.allscriptsdirect.net

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

• Memorial Health Partners Foundation Inc

  dba CHI Memorial Family Practice Associates - Trenton

  • Rural Health Clinic/Center
  • Trenton, GA
  • NPI 1467602482
  NPD
• Memorial Health Care System Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1881653798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD",
            "address_2": "SUITE 208",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115374",
            "telephone_number": "423-265-3561",
            "fax_number": "423-265-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD",
            "address_2": "SUITE 208",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115374",
            "telephone_number": "423-265-3561",
            "fax_number": "423-265-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "BEVERLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "113998",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "7575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Cottrell, PMHNP-BC
• Luke Lester Couch III, M.D.
• Destiny Michelle Couey
• Melisa Couey, M.D.
• Alice Sue Coulter, NP
• Dean John Coulter, PT
• Abigail Taylor Coulthard
• Council for Alcohol and Drug Abuse Services, Inc.
• Susan Severs Council, M.D
• County of Hamilton (Hamilton County EMS)

• Adult Health Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.