Active NPI
Lindsey Brooke Nix, PA
- Physician Assistant
- Knoxville, TN
National Provider Identifier
1083663843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1145
- Practice address
- 9700 Westland Dr
Suite 101
Knoxville, TN 37922-5294 - Phone
- (865) 671-3888
- Fax
- (865) 671-4911
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1145 | TN | Primary |
Addresses
Primary practice location
9700 Westland Dr
Suite 101
Knoxville, TN 37922-5294
Mailing address
9700 Westland Dr
Suite 101
Knoxville, TN 37922-5294
Phone (865) 671-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3376258 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Associates, P.a. | Past | Accepting new patients | |
| Complete Surgical Care PLLC | Past | Accepting new patients | |
| East Tennessee Dermatology Group, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Knoxville, TN
- NPI 1073508347
-
- Specialist
- Knoxville, TN
- NPI 1497740757
-
- Dermatology Physician
- Alcoa, TN
- NPI 1891050407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1083663843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 WESTLAND DR",
"address_2": "SUITE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379225294",
"telephone_number": "865-671-3888",
"fax_number": "865-671-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 WESTLAND DR",
"address_2": "SUITE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379225294",
"telephone_number": "865-671-3888",
"fax_number": "865-671-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "LINDSEY",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3376258",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.