Individual provider Active NPI

Staci Diana Dunn, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1194289835
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25438 Issued in TN
Practice address
9217 Park West Blvd Ste E1
Knoxville, TN 37923-4421
Phone
(865) 337-5137
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 25438 TN Primary

Addresses

Primary practice location

9217 Park West Blvd Ste E1
Knoxville, TN 37923-4421

Mailing address

9217 Park West Blvd Ste E1
Knoxville, TN 37923-4421

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
I20190415002648 TN Practitioner - Nurse Practitioner 7416298716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates PCGroup PAC ID 6002888716, 46 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite 360
Knoxville, TN 37920-1509
Phone (865) 524-1869

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Pain Management, PC CurrentSince Feb 19, 2019 Accepting new patients
Neurosurgical Associates, PC CurrentSince May 1, 2024 Accepting new patients

Locations

120 Hospital Dr
Ste G50
Jefferson City, TN 37760
Phone (865) 471-2250

9217 Park West Blvd
Ste E1
Knoxville, TN 37923
Phone (865) 337-5137

6348 Lonas Spring Dr
Knoxville, TN 37909
Phone (865) 337-5137

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663

Interoperability endpoints

  • Direct secure messaging: stacidunn@neurosurge.allscriptsdirect.net

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 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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1194289835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD STE E1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD STE E1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234421",
            "telephone_number": "865-337-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "STACI",
        "middle_name": "DIANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.