Individual provider Active NPI

Cecily Racheal Patmon, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1134433998
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000015100 Issued in TN
Practice address
2240 Sutherland Ave
Knoxville, TN 37919-2333
Phone
(865) 909-0090
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN000015100 TN Primary

Addresses

Primary practice location

2240 Sutherland Ave
Knoxville, TN 37919-2333

Mailing address

221 Iroquois Rd
Oak Ridge, TN 37830-4937
Phone (865) 300-8143

Other names 1

  • Cecily Racheal Parton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110325000166 TN Practitioner - Nurse Practitioner 2466635651 Reassigns benefits to 3 organizations
I20200716000291 FL Practitioner - Nurse Practitioner 2466635651
I20220526001713 MA Practitioner - Nurse Practitioner 2466635651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN000015100TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medical Associates PC CurrentSince Jan 18, 2013 Accepting new patients
Logan Dameron NP-C PC CurrentSince Jul 7, 2024 Accepting new patients
Summit Medical Group,PLLC CurrentSince Jan 26, 2012 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 26, 2012 Accepting new patients
Chang Wen Chen MD PC CurrentSince May 2, 2018 Accepting new patients
Healthy Life Clinic, Inc. Family Past Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

9314 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 690-9475

10430 Lovell Center Dr
Knoxville, TN 37922
Phone (865) 693-6620

7650 Dannaher Dr
Ste 200
Powell, TN 37849
Phone (865) 637-8635

Organizations & group practices 7

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1134433998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 IROQUOIS RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378304937",
            "telephone_number": "865-300-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192333",
            "telephone_number": "865-909-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATMON",
        "first_name": "CECILY",
        "middle_name": "RACHEAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN000015100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILY",
            "last_name": "PARTON",
            "middle_name": "RACHEAL",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.