Individual provider Active NPI

Elizabeth P McKnight, FNP-C

  • Family Nurse Practitioner
  • Somerville, TN
National Provider Identifier
1164591566
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000011740 Issued in TN
Practice address
25 Woodbridge Rd Ste a
Somerville, TN 38068-1242
Phone
(901) 465-6353
Fax
(833) 902-3599
NPI assigned
Nov 7, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 APN0000011740 TN Primary

Addresses

Primary practice location

25 Woodbridge Rd Ste a
Somerville, TN 38068-1242

Mailing address

25 Woodbridge Rd Ste a
Somerville, TN 38068-1242
Phone (901) 465-6353

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.mcknight.1@26256.direct.athenahealth.com mcknight clinic pllc

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
I20060314000388 TN Practitioner - Nurse Practitioner 9638186877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000011740TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKnight Clinic PLLC CurrentSince Jan 22, 2011 Accepting new patients
McKnight Clinic PLLC CurrentSince Jan 22, 2011 Accepting new patients
Wilder Clinic PastSince May 1, 2008 Accepting new patients

Locations

25 Woodbridge Rd
Somerville, TN 38068
Phone (901) 465-6353

25 Woodbridge Rd
Ste A
Somerville, TN 38068
Phone (901) 465-6353

Interoperability endpoints

  • Direct secure messaging: elizabeth.mcknight.1@26256.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26256/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/110cb3c6-b110-474f-9f37-1dc02438d0c6/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McKnight Clinic PLLCSomerville, TN, CCN 888900 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee
Mar 10, 2008
Mar 10, 2008
Mar 10, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1164591566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODBRIDGE RD STE A",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681242",
            "telephone_number": "901-465-6353",
            "fax_number": "833-902-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODBRIDGE RD STE A",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681242",
            "telephone_number": "901-465-6353",
            "fax_number": "833-902-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-02-13",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000011740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.mcknight.1@26256.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "mcknight clinic pllc",
            "address_1": "25 Woodbridge Rd Ste A",
            "city": "Somerville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380681242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerville, TN

Sources for this page

Verify at the official NPI Registry.