Individual provider Active NPI

Emily Goodson, NP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1144640467
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
18628 Issued in TN
Practice address
11416 Grigsby Chapel Rd Ste 103
Knoxville, TN 37934-7804
Phone
(865) 584-0962
Fax
(865) 584-6384
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 18628 TN Primary

Addresses

Primary practice location

11416 Grigsby Chapel Rd Ste 103
Knoxville, TN 37934-7804

Mailing address

6701 Baum Dr Ste 140
Knoxville, TN 37919-7361
Phone (865) 584-5727

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
I20191113002044 TN Practitioner - Nurse Practitioner 2961834999 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, PA CurrentSince Sep 1, 2021 Accepting new patients
Allergy Associates, P.a. CurrentSince Sep 1, 2021 Accepting new patients
Knoxville Pediatric Associates, P.C. Past Accepting new patients

Locations

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

11416 Grigsby Chapel Rd
Ste 103
Knoxville, TN 37934
Phone (865) 584-0962

611 Morganton Square Dr
Maryville, TN 37801
Phone (865) 982-7711

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1144640467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR STE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197361",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 GRIGSBY CHAPEL RD STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379347804",
            "telephone_number": "865-584-0962",
            "fax_number": "865-584-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "18628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.