Individual provider Active NPI

Nichole Reed, APRN

  • Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1902330376
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22519 Issued in TN
Practice address
1787 Veteran Blvd
Suite 101
Sevierville, TN 37862
Phone
(865) 428-2773
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22519 TN Primary

Addresses

Primary practice location

1787 Veteran Blvd
Suite 101
Sevierville, TN 37862

Mailing address

3308 Sweet Pine Way
Knoxville, TN 37921-4205
Phone (865) 603-4779

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
I20180629002445 TN Practitioner - Nurse Practitioner 1153677349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Enterprise LLCGroup PAC ID 5496998155, 70 clinicians

Practice addresses (Care Compare)

280 Indian Lake Blvd
Suite 140
Hendersonville, TN 37075-6357
Phone (615) 590-1440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22519TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince Nov 27, 2017 Accepting new patients
Urgent Care Enterprise LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

210 Franklin Rd
Ste 4-B
Brentwood, TN 37027
Phone (615) 964-6160

280 Indian Lake Blvd
Ste 140
Hendersonvlle, TN 37075
Phone (615) 590-1440

101 Glenleigh Ct
Knoxville, TN 37934
Phone (865) 671-1110

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

Organizations & group practices 2

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1902330376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 SWEET PINE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379214205",
            "telephone_number": "865-603-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERAN BLVD",
            "address_2": "SUITE 101",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-428-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.