Tenecia Dawn Lancaster, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Pine Ridge, SD
NPI 1972049401 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1972049401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21972 (TN)
- Practice address
- 607 Indian Health Rd
Pine Ridge, SD 57770-3169 - Phone
- (605) 867-5131
- NPI assigned
- Jan 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170512001487 | TN | Practitioner - Nurse Practitioner | 7012294408 | Reassigns benefits to 4 organizations |
| I20190409000091 | TX | Practitioner - Nurse Practitioner | 7012294408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging PC | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Nurse Practitioner | Current |
Accepting new patients |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current |
Accepting new patients | |
| Christian Family Medicine, LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current |
Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189
4307 Highway 66 S
Rogersville, TN 37857
Phone (423) 921-1600
3353 Highway 11W
Surgoinsville, TN 37873
Phone (423) 345-2445
2017 S College St
#C
Trenton, TN 38382
Phone (731) 222-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21972 | TN | |
| Primary Care Nurse Practitioner | 363LP2300X | 21972 | TN | |
| Occupational Health Nurse Practitioner | 363LX0106X | 21972 | TN | |
| Family Nurse Practitioner | 363LF0000X | 21972 | TN | Yes |
Addresses
Primary practice location
607 Indian Health Rd
Pine Ridge, SD 57770-3169
Mailing address
607 Indian Health Rd
Pine Ridge, SD 57770-3169
Phone (605) 867-5131
Other providers in Pine Ridge, SD
- Mary Kathryn Jones
- Peter I Juve
- Christopher Harris Keck
- Keith Lincoln Keller
- Debra Lacey
- Damien Eric Lawhorn
- Wendi S Lewin
- Siyue Li
- Jodi Lias
- Nora Somatra Lim
All providers in Pine Ridge, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.