Individual provider Active NPI

Katherine Kotsianas Massey, MSN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1194458620
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31951 Issued in TN
Practice address
10215 Kingston Pike Ste 100
Knoxville, TN 37922-3492
Phone
(865) 691-0733
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 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 31951 TN Primary

Addresses

Primary practice location

10215 Kingston Pike Ste 100
Knoxville, TN 37922-3492

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

3054 Columbia Ave
Franklin, TN 37064-7424
Phone (615) 550-0091

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
I20220803003880 TN Practitioner - Nurse Practitioner 4486036621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

10215 Kingston Pike
Suite 100
Knoxville, TN 37922-3492
Phone (865) 691-0733

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
31951TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Mar 1, 2024 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Aug 3, 2022 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients

Locations

3054 Columbia Ave
Franklin, TN 37064
Phone (615) 550-0091

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

10215 Kingston Pike
Ste 100
Knoxville, TN 37922
Phone (865) 691-0733

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

4726 Traders Way
Thompsons Station, TN 37179
Phone (615) 550-2955

Interoperability endpoints

  • Direct secure messaging: katherine.massey.1@20785.direct.athenahealth.com

Organizations & group practices 4

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1194458620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223492",
            "telephone_number": "865-691-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3054 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370647424",
            "country_code": "US",
            "telephone_number": "615-550-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "KATHERINE",
        "middle_name": "KOTSIANAS",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.