Individual provider Active NPI

Tamara L. Ellington, DNP, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1033723572
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29986 Issued in TN
Practice address
10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone
(865) 588-3173
Fax
(615) 369-8697
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29986 TN Primary

Addresses

Primary practice location

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955

Mailing address

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone (865) 588-3173

Other practice location 1

194B Market Place Blvd
Knoxville, TN 37922-2337
Phone (865) 212-6600

Other practice location 2

158 Fairbanks Rd
Oak Ridge, TN 37830-7022
Phone (865) 483-7743

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
I20220826000076 TN Practitioner - Nurse Practitioner 2264816172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jan 2, 2024 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.tamaraellington@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": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1033723572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194B Market Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379222337",
            "country_code": "US",
            "telephone_number": "865-212-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Fairbanks Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378307022",
            "country_code": "US",
            "telephone_number": "865-483-7743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "TAMARA",
        "middle_name": "L.",
        "credential": "DNP, PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.