Individual provider Active NPI

Priscilla Cameron, FNP-C

  • Family Nurse Practitioner
  • Tazewell, TN
National Provider Identifier
1992318653
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27882 Issued in TN
Practice address
150 Hester LN
Tazewell, TN 37879-5088
Phone
(423) 851-4594
Fax
(423) 851-4595
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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 27882 TN Primary

Addresses

Primary practice location

150 Hester LN
Tazewell, TN 37879-5088

Mailing address

9360 Lakeshore Dr
Rutledge, TN 37861-5907
Phone (423) 312-3596

Other practice location 1

199 Midway Cir
Midway, TN 37809-3707
Phone (423) 450-0234

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003571 TN Practitioner - Family Practice 9739506056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27882TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Medical PLLC Family CurrentSince Jun 28, 2023 Accepting new patients

Locations

208 Prince St
Sevierville, TN 37862
Phone (865) 774-7481

Interoperability endpoints

  • Direct secure messaging: priscilla.cameron.1@3525.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1992318653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 LAKESHORE DR",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378615907",
            "telephone_number": "423-312-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HESTER LN",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378795088",
            "telephone_number": "423-851-4594",
            "fax_number": "423-851-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Midway Cir",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "TN",
            "postal_code": "378093707",
            "country_code": "US",
            "telephone_number": "423-450-0234",
            "fax_number": "423-422-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "PRISCILLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.