Ava Dettore, PA
NPI 1295562106 · Physician Assistant · Red Bank, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ava Dettore, PA is a Physician Assistant provider in Red Bank, TN (NPI 1295562106).
Provider details
- NPI number
- 1295562106
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 6179 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Ava Dettore's NPI number?
- Ava Dettore's National Provider Identifier (NPI) is 1295562106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ava Dettore's specialty?
- Ava Dettore is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ava Dettore located?
- Ava Dettore's practice location on file with NPPES is 4104 Dayton Blvd, Red Bank, TN 37415-7155.
- What is Ava Dettore's phone number?
- The practice phone number listed in the NPPES registry for Ava Dettore is (423) 499-7710.
- Does Ava Dettore accept Medicare?
- Ava Dettore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ava Dettore's NPI active?
- Yes — Ava Dettore's NPI (1295562106) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.