MRS. CARRIE FREIRE BOZEMAN (NPI# 1659669497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659669497 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE FREIRE BOZEMAN |
| Credential | NP |
| Practice Address |
1819 W Clinch Ave Suite 214 Knoxville TN 37916-2434 |
| Practice Telephone | 8655412835 |
| Practice Fax Number | 8655411003 |
| Mailing Telephone | 8655412835 |
| Mailing Fax Number | 8655411003 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2014-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 15945 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1531066 | 05 |
| Street Address |
1819 W CLINCH AVE SUITE 214 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811986623 | George Menees Krisle IIi | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
| 1922551035 | Brittany Ellis | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2016-07-26 |
| 1275907685 | Erik Taylor | Nurse Practitioner | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2015-11-23 |
| 1447624457 | Julia Wegryn | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2015-11-15 |
| 1194121723 | Lori A. Wilkerson | Nurse Practitioner | 1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434 | 2014-11-10 |
| 1194124388 | Amanda Dawn Barnes | Nurse Practitioner | 1819 W Clinch Ave, Ste 108, Knoxville, TN 37916-2435 | 2014-08-14 |
| 1588088629 | Charles Peters | Physical Therapist | 1819 W Clinch Ave, Suite 106, Knoxville, TN 37916-2434 | 2014-02-10 |
| 1518202795 | Jennifer Jarrett Clark | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-11-29 |
| 1720332232 | Caroline Bond Swann | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2012-11-06 |
| 1669734323 | Joseph B Thurman | Surgery | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1588274542 | Heather Herren | Nurse Practitioner | 12337 N Fox Den Dr, Knoxville, TN 37934-3713 | 2020-08-05 |
| 1194333849 | Kaci Carol Newlin | Nurse Practitioner | 1924 Alcoa Hwy # C460, Knoxville, TN 37920-1511 | 2020-07-20 |
| 1801428958 | Alexandria Paige Watson | Nurse Practitioner | 4928 Homberg Dr Ste 27, Knoxville, TN 37919-5145 | 2020-02-06 |
| 1891333191 | Knoxville Home Care Services LLC | Nurse Practitioner | 1512 Coleman Rd Ste 302, Knoxville, TN 37909-2828 | 2019-12-17 |
| 1184267148 | Becky Lynn Lyons Dills | Nurse Practitioner | 1220 Amber Meadows Cir, Knoxville, TN 37932-2401 | 2019-10-22 |
| 1083260764 | Logan Dameron | Nurse Practitioner | 4156 Walker Blvd, Knoxville, TN 37917-2217 | 2019-08-17 |
| 1518510163 | Dusti Autumn Jones | Nurse Practitioner | 3325 Barbury Ln, Knoxville, TN 37931-1443 | 2019-07-23 |
| 1487206777 | Harli-blaine L Oran | Nurse Practitioner | 4713 Papermill Dr Ste 301, Knoxville, TN 37909-1908 | 2019-07-16 |
| 1942764907 | Andrew Russell Brower | Nurse Practitioner | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2019-01-24 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.