Individual provider Active NPI

Aaron Stewart

  • Family Nurse Practitioner
  • Clinton, TN
National Provider Identifier
1134747454
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000029096 Issued in TN
Practice address
120 Tanner LN
Clinton, TN 37716-6682
Phone
(865) 264-4012
NPI assigned
Jul 13, 2020
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 0000029096 TN Primary
Registered Nurse 163W00000X 0000240506 TN

Addresses

Primary practice location

120 Tanner LN
Clinton, TN 37716-6682

Mailing address

7110 W Arbor Trace Dr Apt 621
Knoxville, TN 37909-3049
Phone (606) 909-5558

Other practice location 1

7110 W Arbor Trace Dr Apt 621
Knoxville, TN 37909-3049
Phone (606) 909-5558

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
I20210810000771 TN Practitioner - Nurse Practitioner 6608270830 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000240506TNMDRegistered Nurse
0000029096TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Medical LLC CurrentSince Jun 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 26, 2022 Accepting new patients

Locations

150 Tanner Ln
Clinton, TN 37716
Phone (865) 457-4121

2702 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 201-9937

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1134747454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 W ARBOR TRACE DR APT 621",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093049",
            "telephone_number": "606-909-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TANNER LN",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166682",
            "telephone_number": "865-264-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 W Arbor Trace Dr Apt 621",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379093049",
            "country_code": "US",
            "telephone_number": "606-909-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000029096",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000240506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

Verify at the official NPI Registry.