Individual provider Active NPI

Christel Amber Redfield, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1033358379
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23974 Issued in TN
Practice address
1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone
(865) 374-7123
Fax
(865) 374-7129
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 160550 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23974 TN Primary

Addresses

Primary practice location

1451 Dowell Springs Blvd
Knoxville, TN 37909-2441

Mailing address

1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 374-7123

Other identifiers 1

IdentifierTypeStateIssuer
Q035294MedicaidTN

Other names 1

  • Christel Amber Heacker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720001246 TN Practitioner - Nurse Practitioner 1557618675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

10434 Jackson Oaks Way
Knoxville, TN 37922-3293
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
160550TNMDRegistered Nurse
23974TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jul 10, 2023 Accepting new patients

Locations

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

10434 Jackson Oaks Way
Knoxville, TN 37922
Phone (865) 281-1408

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.christelamberredfield@148560.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1033358379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092441",
            "telephone_number": "865-374-7123",
            "fax_number": "865-374-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092441",
            "telephone_number": "865-374-7123",
            "fax_number": "865-374-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFIELD",
        "first_name": "CHRISTEL",
        "middle_name": "AMBER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "160550",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035294",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEL",
            "last_name": "HEACKER",
            "middle_name": "AMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.