MR. ERNEST EUGENE PICKETT (NPI# 1679559256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679559256 |
| Entity Type | Individual |
| Full Name | MR. ERNEST EUGENE PICKETT |
| Credential | MSN |
| Practice Address |
2620 Mineral Springs Ave Suite A Knoxville TN 37917-1569 |
| Practice Telephone | 8653570679 |
| Practice Fax Number | 8652198636 |
| Mailing Telephone | 8653570679 |
| Mailing Fax Number | 8652198636 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN0000077192 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN0000077192 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3907658 | 05 |
| Street Address |
2620 MINERAL SPRINGS AVE SUITE A |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942286521 | Psychiatric Concepts, LLC | Nurse Practitioner | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2005-12-15 |
| 1043730005 | Dickenson Dental | Clinic/Center | 2620 Mineral Springs Ave, Knoxville, TN 37917-1569 | 2017-06-21 |
| 1417218512 | Senior Health Consultants Inc | Psychiatry & Neurology | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2012-06-05 |
| 1265674550 | Spectrum Health Associates LLC | Internal Medicine | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2009-04-01 |
| 1790997278 | Michael Lee Dimitroff | Clinical Neuropsychologist | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1548678352 | Kristi Osborne | Nurse Practitioner | 2620 Mineral Springs Ave Ste A, Knoxville, TN 37917-1570 | 2014-07-24 |
| 1740422013 | Carol Preston | Nurse Practitioner | 314 Kennon Rd, Knoxville, TN 37909-3032 | 2009-04-01 |
| 1154523124 | Psychiatric Specialist, LLC | Nurse Practitioner | 8236 Glenrothes Blvd, Knoxville, TN 37909-2158 | 2007-06-01 |
| 1457412157 | Christina G Raman | Nurse Practitioner | 1111 N Northshore Dr Ste 490, Knoxville, TN 37919-4005 | 2006-12-13 |
| 1073609764 | Darneta G Brown | Nurse Practitioner | 2606 Greenway Drive, Suite 105, Knoxville, TN 37918 | 2006-10-04 |
| 1003925942 | Jill Powell | Nurse Practitioner | 3715 Sutherland Ave, Knoxville, TN 37919-4338 | 2006-08-30 |
| 1205804994 | Susan Goolsby | Nurse Practitioner | 116 Concord Rd Ste 100, Knoxville, TN 37934-2941 | 2006-03-09 |
| 1306824263 | Carol Kraemer Witherington | Nurse Practitioner | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2006-01-02 |
| 1942286521 | Psychiatric Concepts, LLC | Nurse Practitioner | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2005-12-15 |
| 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.