Active NPI
Nancy Utley
- Community Health Registered Nurse
- Bolivar, TN
National Provider Identifier
1982014593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN0000081231
- Practice address
- 10825 Old Highway 64
Bolivar, TN 38008-3599 - Phone
- (731) 658-5291
- Fax
- (731) 658-6563
- NPI assigned
- May 5, 2014
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN0000081231 | TN | Primary |
Addresses
Primary practice location
10825 Old Highway 64
Bolivar, TN 38008-3599
Mailing address
10825 Old Highway 64
Bolivar, TN 38008-3599
Phone (731) 658-5291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000081231 | TN | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Current | Accepting new patients |
Interoperability endpoints
- nancyutley@jcpa.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1285629386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1982014593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10825 OLD HIGHWAY 64",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380083599",
"telephone_number": "731-658-5291",
"fax_number": "731-658-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10825 OLD HIGHWAY 64",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380083599",
"telephone_number": "731-658-5291",
"fax_number": "731-658-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTLEY",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "RN0000081231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.