SAMANTHA R PETTY (NPI# 1801950399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801950399 |
| Entity Type | Individual |
| Full Name | SAMANTHA R PETTY |
| Credential | APN, RN |
| Practice Address |
11808 Kingston Pike Suite 100 Knoxville TN 37934-3838 |
| Mailing Address |
Po Box 21867 Chattanooga TN 37424-0867 |
| Practice Telephone | 4238990500 |
| Practice Fax Number | 4238992411 |
| Mailing Telephone | 4238990500 |
| Mailing Fax Number | 4238992411 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | RN0000039380 | TN | Nursing Service Providers |
| X | 363L00000X | Nurse Practitioner | APN0000005270 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| X | 163WR1000X |
Registered Nurse Specialization: Reproductive Endocrinology/Infertility |
TN | Nursing Service Providers |
| Street Address |
11808 KINGSTON PIKE SUITE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932150430 | David N Crouch | Family Medicine | 11808 Kingston Pike, Ste 160, Knoxville, TN 37934-3803 | 2006-05-12 |
| 1245598879 | Brittany Michelle Ryan | Physician Assistant | 11808 Kingston Pike, Suite 160, Knoxville, TN 37934-3803 | 2012-05-02 |
| 1104139286 | Carol W. Cruze | Nurse Practitioner | 11808 Kingston Pike, Suite 160, Knoxville, TN 37934-3803 | 2010-07-19 |
| 1538398623 | Deborah Christine Della-rodolfa | Counselor | 11808 Kingston Pike, Suite 100, Knoxville, TN 37934-3803 | 2009-07-09 |
| 1437306966 | Cynthia Fritz Fugatt | Social Worker | 11808 Kingston Pike, Suite 100, Knoxville, TN 37934-3803 | 2008-08-27 |
| 1295908457 | Tennessee Valley Orthopedics & Sports Medicine Assoc PC | Clinic/Center | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3803 | 2008-04-09 |
| 1275715450 | Jacob Joseph Levy | Psychologist | 11808 Kingston Pike, Suite 100, Knoxville, TN 37934-3803 | 2007-11-29 |
| 1184811804 | Bruce Michael Nicoara | Physical Therapist | 11808 Kingston Pike, Suite 185, Knoxville, TN 37934-3803 | 2007-09-26 |
| 1952468415 | Thomas Martin Koenig | Orthopaedic Surgery | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3838 | 2007-01-03 |
| 1669551149 | Summit Medical Group, Pllc | Internal Medicine | 11808 Kingston Pike, Suite 160, Knoxville, TN 37934-3838 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| 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 |
| 1962019398 | Kayla Blaire Hinkle | Registered Nurse | 8010 Chestnut Hill Ln, Knoxville, TN 37924-1054 | 2020-09-29 |
| 1588272611 | Michael David Walker | Registered Nurse | 140 Jennings Ave Apt 106, Knoxville, TN 37917-7158 | 2020-07-15 |
| 1235757436 | Matthew Ryan | Registered Nurse | 7250 Haynesfield Ln, Knoxville, TN 37918-8151 | 2020-07-14 |
| 1700494986 | Amy Frances Keys | Registered Nurse | 2721 Washington Pike, Knoxville, TN 37917-3337 | 2020-07-14 |
| 1134747397 | Joy Lynn Hood | Registered Nurse | 6029 Villa Rd, Knoxville, TN 37918-4449 | 2020-07-13 |
| 1073131397 | Taylor Nicole Day | Registered Nurse | 117 Woodrush Dr, Knoxville, TN 37918-2566 | 2020-07-13 |
| 1235757535 | Anthony Matthew Jett | Registered Nurse | 4754 Cabbage Ln, Knoxville, TN 37938-3179 | 2020-07-13 |
| 1336767672 | Jayshreeben R Patel | Registered Nurse | 10666 Trulock Ln, Knoxville, TN 37934-4114 | 2020-07-13 |
| 1063030369 | Jordan Bollinger | Registered Nurse | 4401 Royalview Rd, Knoxville, TN 37921-3129 | 2020-07-13 |
| 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.