Individual provider Active NPI

Audrey Meredith Wohl, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1154749166
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18512 Issued in TN
Practice address
1934 Alcoa Highway Building D Suite 474
Knoxville, TN 37920
Phone
(865) 305-8684
Fax
(865) 305-8695
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 18512 TN Primary

Addresses

Primary practice location

1934 Alcoa Highway Building D Suite 474
Knoxville, TN 37920

Mailing address

1934 Alcoa Highway Building D Suite 474
Knoxville, TN 37920
Phone (865) 305-8684

Other practice location 1

200 New York Ave
Suite 320
Oak Ridge, TN 37830-5212
Phone (865) 835-5196

Other identifiers 1

IdentifierTypeStateIssuer
Q008797MedicaidTN

Other names 1

  • Audrey Meredith Moore Former name

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
I20141218000915 TN Practitioner - Nurse Practitioner 5092038356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
University Anesthesiologists, PLLCGroup PAC ID 8921097197, 150 clinicians

Practice addresses (Care Compare)

121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188

1934 Alcoa Hwy
Suite 474
Knoxville, TN 37920-1526
Phone (865) 305-8684

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Anesthesiologists, PLLC CurrentSince Aug 1, 2017 Accepting new patients
University Anesthesiologists, PLLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

1934 Alcoa Hwy
Ste 474
Knoxville, TN 37920
Phone (865) 305-8684

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1154749166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HIGHWAY BUILDING D SUITE 474",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-305-8684",
            "fax_number": "865-305-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HIGHWAY BUILDING D SUITE 474",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-305-8684",
            "fax_number": "865-305-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 New York Ave",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378305212",
            "country_code": "US",
            "telephone_number": "865-835-5196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOHL",
        "first_name": "AUDREY",
        "middle_name": "MEREDITH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008797",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "MOORE",
            "middle_name": "MEREDITH",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.