Organization Active NPI

Power of Three Psychiatry

Doing business as Knoxville Family Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1184107773
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
POWER OF THREE PSYCHIATRY
Doing business as
Knoxville Family Psychiatry, PLLC
Practice address
301 Clark St
Knoxville, TN 37921-6328
Phone
(865) 588-1718
Fax
(865) 338-5897
NPI assigned
Sep 11, 2018
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Zeelendia Ann Harris
Title
Office Manager
Phone
(865) 801-9484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Prescribing (Medical) Psychologist 103TP0016X NU

Addresses

Primary practice location

301 Clark St
Knoxville, TN 37921-6328

Mailing address

305 Westfield Rd
Knoxville, TN 37919-4824
Phone (865) 588-1718

Other identifiers 1

IdentifierTypeStateIssuer
Q000192MedicaidTN

Other names 1

  • Knoxville Family Psychiatry, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107003323 TN Part B Supplier - Clinic/Group Practice 5890129464 Receives reassigned benefits from 7 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

301 Clark St
Knoxville, TN 37921
Phone (865) 588-1718

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1184107773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WESTFIELD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194824",
            "telephone_number": "865-588-1718",
            "fax_number": "865-415-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CLARK ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216328",
            "telephone_number": "865-588-1718",
            "fax_number": "865-338-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER OF THREE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ZEELENDIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-801-9484"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000192",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxville Family Psychiatry, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.