Individual provider Active NPI

Elizabeth Flick, FNP-C

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1144838806
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27781 Issued in TN
Practice address
1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone
(865) 428-2773
NPI assigned
Jul 20, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 27781 TN Primary

Addresses

Primary practice location

1787 Veterans Blvd
Sevierville, TN 37862-6945

Mailing address

1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone (865) 428-2773

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
I20201209000659 TN Practitioner - Nurse Practitioner 4789096108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookwell Health LLCGroup PAC ID 4981033032, 14 clinicians

Practice addresses (Care Compare)

2829 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Phone (423) 307-5757

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Brookwell Health LLC CurrentSince May 20, 2021 Accepting new patients
Ut Urgent Care Centers LLC CurrentSince Dec 1, 2021 Accepting new patients
Brookwell Health LLC Family Past Accepting new patients

Locations

190D Saundersville Rd
Ste 4003
Hendersonville, TN 37075
Phone (866) 589-0003

709 Med Tech Pkwy
Ste 210
Johnson City, TN 37604
Phone (423) 427-2940

105 W Stone Dr
Kingsport, TN 37660
Phone (423) 307-5757

105 W Stone Dr
Ste 1B
Kingsport, TN 37660
Phone (423) 224-3555

9314 Park West Blvd
Ste 102
Knoxville, TN 37923
Phone (865) 407-2301

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

2829 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 307-5757

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

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, 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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1144838806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-428-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-428-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.