Active NPI
Angela Quick, FNP
- Family Nurse Practitioner
- Dyersburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25838
- Practice address
- 420 Wilkinson Dr
Dyersburg, TN 38024-2085 - Phone
- (731) 285-5133
- NPI assigned
- Aug 1, 2019
- Last updated
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25838 | TN | Primary |
Addresses
Primary practice location
420 Wilkinson Dr
Dyersburg, TN 38024-2085
Mailing address
176 Highway 210 S
Dyersburg, TN 38024-8228
Other practice location 1
143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 285-5133
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 285-5133
1716 Parr Ave
Suite C
Dyersburg, TN 38024-2074
Phone (731) 421-6510
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25838 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dyersburg Family Walk-in Clinic LLC | Current | Accepting new patients | |
| WT Medical Associates | Family | Current | Accepting new patients |
| WT Medical Associates | Current | Accepting new patients |
Locations
1954 Saint John Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-6110
2017 Saint John Ave
Ste B
Dyersburg, TN 38024
Phone (731) 285-6110
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321
164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900
Interoperability endpoints
- aquick22021@directepic.wth.org
Organizations & group practices 4
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.
-
dba Reelfoot Family Walk-In Clinic
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1174712780
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
dba West Tennessee Medical Group Primary Care Halls
- Rural Health Clinic/Center
- Halls, TN
- NPI 1356176556
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dyersburg Employee Pharmacy
- Community/Retail Pharmacy
- Dyersburg, TN
- NPI 1043282338
Hospital
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1902451446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 HIGHWAY 210 S",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380248228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 WILKINSON DR",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380242085",
"telephone_number": "731-285-5133"
}
],
"practiceLocations": [
{
"address_1": "143 Kennedy Dr",
"address_purpose": "LOCATION",
"city": "Martin",
"state": "TN",
"postal_code": "382373309",
"country_code": "US",
"telephone_number": "731-285-5133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUICK",
"first_name": "ANGELA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "25838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.