Individual provider Active NPI

Edelyn Yvette Bishop, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1093488124
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN29959 Issued in TN
Practice address
1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381
Phone
(865) 588-3173
Fax
(865) 588-3174
NPI assigned
Jul 26, 2021
Last updated
Jan 7, 2026By the provider in NPPES
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 APN29959 TN Primary

Addresses

Primary practice location

1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381

Mailing address

1415 Old Weisgarber Rd Ste 360
Knoxville, TN 37909-1381
Phone (865) 588-3173

Other practice location 1

8420 Key Ln
Knoxville, TN 37920-8141
Phone (860) 918-5889

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
I20211102001012 TN Practitioner - Nurse Practitioner 6901294420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 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)

6305 Lonas Dr
Suite 101
Knoxville, TN 37909-3203
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1415 Old Weisgarber Rd
Ste 360
Knoxville, TN 37909
Phone (865) 345-4557

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.edelynbishop@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, 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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1093488124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091381",
            "telephone_number": "865-588-3173",
            "fax_number": "865-588-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091381",
            "telephone_number": "865-588-3173",
            "fax_number": "865-588-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8420 Key Ln",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379208141",
            "country_code": "US",
            "telephone_number": "860-918-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "EDELYN",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "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": "APN29959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.