Tanya Archer, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Knoxville, TN
NPI 1043080328 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1043080328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 35439 (TN)
- Practice address
- 501 19TH St Ste 509
Knoxville, TN 37916-1874 - Phone
- (865) 524-3208
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fort Sanders Obstetrical and Gynecological Group, PC
Practice addresses (Care Compare)
9314 Parkwest Blvd
Suite 303
Knoxville, TN 37923
Phone (865) 524-3208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217000092 | TN | Practitioner - Nurse Practitioner | 5193252088 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Sanders Obstetrical and Gynecological Group, P.C. | Current |
Accepting new patients | |
| Fort Sanders Obstetrical and Gynecological Group II LLC | Past | Accepting new patients |
Locations
9314 Park West Blvd
Ste 303
Knoxville, TN 37923
Phone (865) 524-3208
501 19th St
Ste 509
Knoxville, TN 37916
Phone (423) 524-1024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 35439 | TN | Yes |
Addresses
Primary practice location
501 19TH St Ste 509
Knoxville, TN 37916-1874
Mailing address
501 19TH St Ste 509
Knoxville, TN 37916-1874
Phone (865) 524-3208
Other providers in Knoxville, TN
- Arch Communication Therapy LLC
- Aaron Archer
- Courtney Michelle Archer
- Lindsey Elaine Archer
- Rachel Claire Archer
- Sarah Raghid Ardahji
- Arden Perspectives, LLC
- Arden Therapy
- Brittany Marie Arden
- Chasity Arden
All providers in Knoxville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.