Individual provider Active NPI

Alkiva Nicole Williams

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1033628284
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22964 Issued in TN
Practice address
501 20TH St Ste 503
Knoxville, TN 37916
Phone
(865) 331-4321
Fax
(865) 331-4320
NPI assigned
Sep 20, 2017
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 22964 TN Primary

Addresses

Primary practice location

501 20TH St Ste 503
Knoxville, TN 37916

Mailing address

501 20TH St Ste 503
Knoxville, TN 37916-1832
Phone (865) 331-4321

Other practice location 1

1758 Hillwood Dr
Knoxville, TN 37920-2600
Phone (865) 409-4141

Other practice location 2

1758 Hillwood Dr
Knoxville, TN 37920-2600
Phone (865) 409-4141

Other identifiers 1

IdentifierTypeStateIssuer
Q031085MedicaidTN

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
I20171023000853 TN Practitioner - Nurse Practitioner 7315213170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians

Practice addresses (Care Compare)

252 Cherokee Professional Park
Maryville, TN 37804-5153
Phone (865) 980-5200

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22964TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Partners of East Tennessee, PLLC Family CurrentSince Sep 15, 2018 Accepting new patients
Covenant Medical Group, Inc CurrentSince Aug 6, 2018 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Housecall Primary Care, PLLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321

1758 Hillwood Dr
Knoxville, TN 37920
Phone (865) 363-7124

Dept 888179
Knoxville, TN 37995

1520 Grove St
Loudon, TN 37774
Phone (423) 458-5436

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2304 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 273-8300

2320 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 273-8300

252 Cherokee Professional Park
Maryville, TN 37804

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

1869 Crest Rd
Maryville, TN 37804
Phone (865) 984-3030

7700 Dannaher Dr
Powell, TN 37849
Phone (865) 512-8376

Interoperability endpoints

  • Direct secure messaging: awilliams872792@direct.ghs.myhfn.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1033628284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 503",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161832",
            "telephone_number": "865-331-4321",
            "fax_number": "865-331-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST STE 503",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-331-4321",
            "fax_number": "865-331-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1758 Hillwood Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379202600",
            "country_code": "US",
            "telephone_number": "865-409-4141",
            "fax_number": "865-246-2106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1758 Hillwood Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379202600",
            "country_code": "US",
            "telephone_number": "865-409-4141",
            "fax_number": "865-246-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALKIVA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031085",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.