Glenda Taylor Atkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000015772 Issued in TN

Practice address

1021 Spring St
Dover, TN 37058-3302

Phone

(931) 232-5329

Fax

(931) 232-7247

NPI assigned

May 24, 2011

Last updated

Mar 14, 2012By 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 names 1

• Glenda Marie Taylor Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9081/brand/1/csg/1/fhir/r4

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.

• Elite Primary Care LLC

  dba Elite Primary Care

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1861732745
  Medicare reassignment NPD
• Clarksville Sportsmed & Wellness

  • Sports Medicine (Family Medicine) Physician
  • Clarksville, TN
  • NPI 1588941942
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1972896041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583302",
            "telephone_number": "931-232-5329",
            "fax_number": "931-232-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583302",
            "telephone_number": "931-232-5329",
            "fax_number": "931-232-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "GLENDA",
        "middle_name": "TAYLOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "TAYLOR",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Medical, PLLC
• Karen Jean Anderson, REGISTERED DIETITIAN
• Benton County Physical Therapy (Dover Rehabilitation Services)
• Blane Clinical LLC
• Blane Management LLC (DBA Dover Family Pharmacy)
• Blane Management LLC (Dover Family Pharmacy)
• Christa A Blane, ARNP-BC

• Family Nurse Practitioner in Dover, TN
• Providers in Dover, 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 Mar 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.