Active NPI
Tina D Hall, FNP
- Nurse Practitioner
- Morristown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6650
- Practice address
- 1050 Freshour St
Ste a
Morristown, TN 37813-2210 - Phone
- (423) 581-1479
- Fax
- (423) 586-7488
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6650 | TN | Primary |
Addresses
Primary practice location
1050 Freshour St
Ste a
Morristown, TN 37813-2210
Mailing address
1050 Freshour St
Ste a
Morristown, TN 37813-2210
Phone (423) 581-1479
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4066177 | Other | TN | BLUE CROSS BLUE SCHEILD |
| 1513604 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hall.tina@covenanthealth.cernerdirect.com |
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
- East Tennessee State University Quillen College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Current | Accepting new patients | |
| East Tennessee Pathology, PLLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients |
Locations
Dept 888179
Knoxville, TN 37995
1400 Centerpoint Blvd
Ste 160
Knoxville, TN 37932
Phone (865) 374-5200
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000
1621 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 492-6700
1050 Freshour St
Ste A
Morristown, TN 37813
Phone (423) 581-1479
Interoperability endpoints
- hall.tina@covenanthealth.cernerdirect.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Physical Therapy Clinic/Center
- Morristown, TN
- NPI 1760428296
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Clinical Medical Laboratory
- Morristown, TN
- NPI 1194011080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1942287743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 FRESHOUR ST",
"address_2": "STE A",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132210",
"telephone_number": "423-581-1479",
"fax_number": "423-586-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 FRESHOUR ST",
"address_2": "STE A",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132210",
"telephone_number": "423-581-1479",
"fax_number": "423-586-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "TINA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "6650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SCHEILD",
"identifier": "4066177",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513604",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hall.tina@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "1050 Freshour St",
"address_2": "Ste A",
"city": "Morristown",
"state": "TN",
"country_code": "US",
"postal_code": "378132210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.