Individual provider Active NPI

Mary Katrina Quist Rouse, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1003473372
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25752 Issued in TN
Practice address
2100 Clinch Ave Ste 330
Knoxville, TN 37916
Phone
(865) 673-8229
Fax
(865) 673-8893
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25752 TN Primary

Addresses

Primary practice location

2100 Clinch Ave Ste 330
Knoxville, TN 37916

Mailing address

2100 Clinch Ave Ste 330
Knoxville, TN 37916-2295
Phone (865) 673-8229

Other practice location 1

1200 Volunteer Blvd
Knoxville, TN 37996-4515
Phone (865) 974-4151

Other practice location 2

2100 Clinch Ave Ste 330
Knoxville, TN 37916
Phone (865) 673-8229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
25752TNMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1003473372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 330",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162295",
            "telephone_number": "865-673-8229",
            "fax_number": "865-673-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 330",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-673-8229",
            "fax_number": "865-673-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Volunteer Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379964515",
            "country_code": "US",
            "telephone_number": "865-974-4151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Clinch Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37916",
            "country_code": "US",
            "telephone_number": "865-673-8229",
            "fax_number": "865-673-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "MARY KATRINA",
        "middle_name": "QUIST",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.