Individual provider Active NPI

Emily L Harless, FNP

  • Family Nurse Practitioner
  • Maynardville, TN
National Provider Identifier
1154658409
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14849 Issued in TN
Practice address
2945 Maynardville Hwy
Suite 3
Maynardville, TN 37807-3251
Phone
(865) 745-1258
Fax
(865) 745-1276
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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 14849 TN Primary

Addresses

Primary practice location

2945 Maynardville Hwy
Suite 3
Maynardville, TN 37807-3251

Mailing address

2945 Maynardville Hwy
Suite 3
Maynardville, TN 37807-3251
Phone (865) 745-1258

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
I20100615000359 TN Practitioner - Nurse Practitioner 1557491743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2945 Maynardville Hwy
Suite 3
Maynardville, TN 37807-3247
Phone (865) 745-1258

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14849TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Family Health, Inc CurrentSince Jan 1, 2014 Accepting new patients

Locations

2945 Maynardville Hwy
Ste 3
Maynardville, TN 37807
Phone (865) 745-1258

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1154658409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 MAYNARDVILLE HWY",
            "address_2": "SUITE 3",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073251",
            "telephone_number": "865-745-1258",
            "fax_number": "865-745-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 MAYNARDVILLE HWY",
            "address_2": "SUITE 3",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073251",
            "telephone_number": "865-745-1258",
            "fax_number": "865-745-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynardville, TN

Sources for this page

Verify at the official NPI Registry.