Active NPI
Tina Elaine Doty, NP
- Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN0000133389
- Practice address
- 900 E Oak Hill Ave
Knoxville, TN 37917-4505 - Phone
- (865) 545-7573
- NPI assigned
- Mar 23, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN0000133389 | TN | Primary |
Addresses
Primary practice location
900 E Oak Hill Ave
Knoxville, TN 37917-4505
Mailing address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
1300 Old Weisgarber Rd
Knoxville, TN 37909-1291
Phone (865) 584-2146
1320 Old Weisgarber Rd
Knoxville, TN 37909-1291
Phone (865) 584-1054
6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000133389 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Current | Accepting new patients | |
| Familycare Specialists PC | Past | Accepting new patients | |
| Covenant Medical Group, Inc | Past | Accepting new patients |
Locations
Dept 888179
Knoxville, TN 37995
1300 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 584-2146
550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1881636488
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1033447008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1134443922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 CENTERPOINT BLVD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E OAK HILL AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379174505",
"telephone_number": "865-545-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTY",
"first_name": "TINA",
"middle_name": "ELAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "RN0000133389",
"primary": true
}
],
"identifiers": [],
"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 Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.