Individual provider Active NPI

Debra Lynn Howard, PA-C

  • Medical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1164942355
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3251 Issued in TN
Practice address
9314 Park West Blvd Ste 100
Knoxville, TN 37923-4338
Phone
(865) 690-7677
Fax
(865) 690-7627
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3251 TN Primary

Addresses

Primary practice location

9314 Park West Blvd Ste 100
Knoxville, TN 37923-4338

Mailing address

9314 Park West Blvd Ste 100
Knoxville, TN 37923-4338
Phone (865) 690-7677

Other names 1

  • Miss Debra Lynn Williams 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
I20180718004223 TN Practitioner - Physician Assistant 6305193590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3251TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Sep 1, 2024 Accepting new patients
Parkwest Women'S Specialists, PLLC CurrentSince Dec 16, 2017 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

9314 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 690-7677

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

710 Kings Ln
Tullahoma, TN 37388
Phone (931) 455-7044

Interoperability endpoints

  • Direct secure messaging: debra.howard.1@6281.direct.athenahealth.com
  • Direct secure messaging: debra.howard.1@33136.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6281/brand/2/csg/41/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164942355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234338",
            "telephone_number": "865-690-7677",
            "fax_number": "865-690-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PARK WEST BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234338",
            "telephone_number": "865-690-7677",
            "fax_number": "865-690-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "WILLIAMS",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.