Tarra A Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN16554 Issued in TN

Practice address

905 E Central Ave
La Follette, TN 37766-2768

Phone

(423) 907-1600

Fax

(423) 907-1646

NPI assigned

Apr 30, 2012

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell County Hma LLCGroup PAC ID 3173795168, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
• Direct secure messaging: tarra.wilson.2@4694.direct.athenahealth.com

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.

• Campbell County Hma, LLC

  dba Tennova LaFollette Medical Center Clinic

  • Family Medicine Physician
  • La Follette, TN
  • NPI 1235411554
  Medicare reassignment Care Compare group NPD
• Knoxville Hma Physician Management, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1629356969

  Family

  Medicare reassignment NPD
• Campbell County Hma LLC

  dba Tennova Primary Care Caryville

  • Rural Health Clinic/Center
  • Caryville, TN
  • NPI 1023613361
  NPD
• Campbell County Hma LLC

  dba Tennova LaFollette Medical Center Clinic

  • Rural Health Clinic/Center
  • La Follette, TN
  • NPI 1407838261
  NPD
• Campbell County Hma LLC

  • Rural Health Clinic/Center
  • La Follette, TN
  • NPI 1639183353
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Campbell County Hma, LLC

  dba Tennova Healthcare-LaFollette Medical Center

  • General Acute Care Hospital
  • La Follette, TN
  • NPI 1639151301
  Care Compare affiliation

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1902164775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1600",
            "fax_number": "423-907-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1600",
            "fax_number": "423-907-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TARRA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528809",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tarra.wilson.2@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "905 E Central Ave",
            "city": "LA Follette",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377662768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylon N West
• Melissa Wheeling
• Heather Whittemore, FNP-BC
• Juliana Williamson, M.D.
• Brycen Wilson, DO
• William Evan Wilson I, PMHNP
• Steve Dooley Womack, PTA
• Michelle Worsowicz
• Wynn Habersham Community Clinic Inc
• Natasha Reed Yeary, OTR/L

• Family Nurse Practitioner in La Follette, TN
• Providers in La Follette, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.
• 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.