Individual provider Active NPI

Dreama Nichole Hall Johnson, FNP-C

  • Family Nurse Practitioner
  • White Bluff, TN
National Provider Identifier
1982321790
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32833 Issued in TN
Practice address
4335 Hwy 70 E
White Bluff, TN 37187-9234
Phone
(615) 797-1418
Fax
(615) 797-1421
NPI assigned
Oct 24, 2022
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 32833 TN Primary

Addresses

Primary practice location

4335 Hwy 70 E
White Bluff, TN 37187-9234

Mailing address

613 Evening Shade Dr S
White Bluff, TN 37187-4083
Phone (615) 920-9411

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
I20221123001127 TN Practitioner - Nurse Practitioner 9335517341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harpeth Health LLCGroup PAC ID 3577913938, 2 clinicians

Practice addresses (Care Compare)

4335 Hwy 70 E
White Bluff, TN 37187-9234
Phone (615) 797-1418

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 4, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 4, 2022 Accepting new patients
Harpeth Health LLC Family CurrentSince Nov 18, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

718 E College St
Dickson, TN 37055
Phone (615) 560-7016

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4335 Highway 70 E
White Bluff, TN 37187
Phone (615) 797-1418

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1982321790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 EVENING SHADE DR S",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371874083",
            "telephone_number": "615-920-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 HWY 70 E",
            "city": "WHITE BLUFF",
            "state": "TN",
            "postal_code": "371879234",
            "telephone_number": "615-797-1418",
            "fax_number": "615-797-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DREAMA",
        "middle_name": "NICHOLE HALL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bluff, TN

Sources for this page

Verify at the official NPI Registry.