PRIMARY CARE AT HOME OF TENNESSEE, LLC (NPI# 1861841967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861841967 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE AT HOME OF TENNESSEE, LLC |
| Practice Address |
2270 Sutherland Ave Suite 101 Knoxville TN 37919-2331 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 3372331307 |
| Practice Fax Number | 3372335764 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | DONALD D. STELLY (PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2270 SUTHERLAND AVE SUITE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619197365 | University of Tn Medical Center Home Care Services, LLC | Hospice Care, Community Based | 2270 Sutherland Ave, Suite 101, Knoxville, TN 37919-2350 | 2007-04-26 |
| 1881167005 | Susan Maxwell | Acupuncturist | 2270 Sutherland Ave, Knoxville, TN 37919-2331 | 2019-01-10 |
| 1558615138 | Joseph P Rizzo | Nurse Practitioner | 2270 Sutherland Ave, Knoxville, TN 37919-2331 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| 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.