Individual provider Active NPI

Tori D Martin, APN

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1134745755
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27728 Issued in TN
Practice address
320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone
(865) 692-3462
Fax
(865) 670-6333
NPI assigned
Jun 19, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 27728 TN
Nurse Practitioner 363L00000X 27728 TN Primary

Addresses

Primary practice location

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624

Mailing address

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone (865) 692-3462

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200904000369 TN Practitioner - Nephrology 8628495652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Kidney Center, PLLCGroup PAC ID 2668485558, 13 clinicians

Practice addresses (Care Compare)

320 Park 40 N Blvd
Suite a
Knoxville, TN 37923-3624
Phone (865) 692-3462

Merit-based Incentive Payment System (MIPS)

Final score
84.16 of 100Reported as group
Quality
50.68
Promoting interoperability
100
Improvement activities
40
Cost
79.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Kidney Center, PLLC CurrentSince Aug 17, 2020 Accepting new patients

Locations

320 N Park 40 Blvd
#A
Knoxville, TN 37923
Phone (865) 692-3462

800 Oak Ridge Tpke
Ste A401
Oak Ridge, TN 37830
Phone (865) 481-0094

Interoperability endpoints

  • Direct secure messaging: tmartin58567@direct.acumenmd.com
  • Direct secure messaging: tmartin9@yourcarecommunity.org

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1134745755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-670-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-670-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TORI",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27728",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.