Individual provider Active NPI

Bridget B. Peterson, FNP

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1215908462
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 5961 Issued in TN
Practice address
1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283
Phone
(865) 980-5200
Fax
(865) 246-2106
NPI assigned
Jan 27, 2006
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 APN 5961 TN Primary

Addresses

Primary practice location

1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283

Mailing address

PO Box 5777
Maryville, TN 37802-5777
Phone (865) 246-2104

Other identifiers 1

IdentifierTypeStateIssuer
3814930MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peterson.bridget@covenanthealth.cernerdirect.com

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
I20040722000451 TN Practitioner - Nurse Practitioner 7315927183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House Call Primary Care, PLLCGroup PAC ID 8426361932, 7 clinicians
Thompson Oncology GroupGroup PAC ID 0941246771, 65 clinicians

Practice addresses (Care Compare)

1812 E Lamar
Alexander Pkwy
Maryville, TN 37804-5283
Phone (865) 246-2104

200 New York Ave
Suite 200
Oak Ridge, TN 37830-5225
Phone (865) 835-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 5961TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PLLC CurrentSince Jul 21, 2011 Accepting new patients
Housecall Primary Care, PLLC CurrentSince Oct 6, 2025 Accepting new patients
Thompson Oncology Group CurrentSince May 6, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 21, 2011 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

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

1758 Hillwood Dr
Knoxville, TN 37920
Phone (865) 363-7124

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

9325 S Northshore Dr
Knoxville, TN 37922
Phone (865) 474-9322

9711 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 373-5000

Dept 888078
Knoxville, TN 37995

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

200 New York Ave
Ste 200
Oak Ridge, TN 37830
Phone (865) 331-1720

801 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-4088

1102 Medical Park Ct
Sevierville, TN 37862
Phone (513) 662-5880

710 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 446-9025

Interoperability endpoints

  • Direct secure messaging: peterson.bridget@covenanthealth.cernerdirect.com

Organizations & group practices 5

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.

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1215908462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5777",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378025777",
            "telephone_number": "865-246-2104",
            "fax_number": "865-246-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045283",
            "telephone_number": "865-980-5200",
            "fax_number": "865-246-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIDGET",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN 5961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814930",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peterson.bridget@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "200 New York Ave Ste 200",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378305225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.