Individual provider Active NPI

Amy Nicole Patterson, FNP

  • Family Nurse Practitioner
  • Lenoir City, TN
National Provider Identifier
1053635557
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN14897 Issued in TN
Practice address
501 Adessa Pkwy
Suite a-150
Lenoir City, TN 37771-6725
Phone
(865) 986-8082
Fax
(865) 986-5890
NPI assigned
Mar 26, 2010
Last updated
Mar 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN14897 TN Primary
Family Nurse Practitioner 363LF0000X RN168740 TN

Addresses

Primary practice location

501 Adessa Pkwy
Suite a-150
Lenoir City, TN 37771-6725

Mailing address

Dept 888182
Knoxville, TN 37995-8182
Phone (800) 355-3565

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
I20100803000218 TN Practitioner - Nurse Practitioner 2365575909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Consultants of East Tennessee, PLLCGroup PAC ID 3173424298, 18 clinicians

Practice addresses (Care Compare)

1540 Member Lane
Suite 100
Knoxville, TN 37909-1231

1540 Member LN
Suite 100
Knoxville, TN 37909-1231
Phone (865) 579-0552

575 Oak Ridge Tpke
Suite 110
Oak Ridge, TN 37830-7173
Phone (865) 579-0552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN14897TNMDFamily Nurse Practitioner
RN168740TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Consultants of East Tennessee, PLLC CurrentSince May 4, 2011 Accepting new patients
Behavioral Medicine Institute PC PastSince Sep 23, 2012 Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

1128 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone (865) 251-5215

1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552

220 Fort Sanders West Blvd
Ste 308
Knoxville, TN 37922
Phone (865) 579-0552

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1053635557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888182",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958182",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ADESSA PKWY",
            "address_2": "SUITE A-150",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716725",
            "telephone_number": "865-986-8082",
            "fax_number": "865-986-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN14897",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN168740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.