Individual provider Active NPI

Breanna Wood, FNP

  • Family Nurse Practitioner
  • Lewisburg, TN
National Provider Identifier
1982165353
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25670 Issued in TN
Practice address
641 E Commerce St
Lewisburg, TN 37091-2816
Phone
(931) 359-4555
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25670 TN Primary

Addresses

Primary practice location

641 E Commerce St
Lewisburg, TN 37091-2816

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190416001987 TN Practitioner - Nurse Practitioner 4385985530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 30, 2019 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Sep 11, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 30, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Jun 16, 2024 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1128 N Castle Heights Ave
Lebanon, TN 37087
Phone (423) 352-4381

641 E Commerce St
Lewisburg, TN 37091
Phone (931) 359-4555

1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555

4139 Franklin Rd
Murfreesboro, TN 37128
Phone (629) 335-3057

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

3813 Old Port Royal Rd N
Spring Hill, TN 37174
Phone (931) 487-1006

910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304

9002 Sparta Pike
Watertown, TN 37184
Phone (615) 697-6836

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1982165353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 E COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912816",
            "telephone_number": "931-359-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BREANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.