Individual provider Active NPI

Emma Ruth Park, DNP

  • Critical Care Medicine (Internal Medicine) Physician
  • Knoxville, TN
National Provider Identifier
1225712730
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
APN0000031715 Issued in TN
Practice address
905 Vicar LN
Knoxville, TN 37919-7242
Phone
(423) 293-2420
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X APN0000031715 TN Primary

Addresses

Primary practice location

905 Vicar LN
Knoxville, TN 37919-7242

Mailing address

905 Vicar LN
Knoxville, TN 37919-7242
Phone (423) 293-2420

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
I20230912001607 TN Practitioner - Nurse Practitioner 8628432572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Internal Medicine PLLCGroup PAC ID 4789582305, 12 clinicians
Knoxville Rheumatology PLLCGroup PAC ID 3173945284, 3 clinicians

Practice addresses (Care Compare)

11440 Parkside Dr
Suite 302
Knoxville, TN 37934-2662
Phone (865) 288-1548

2072 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone (865) 246-6580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000031715TNMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Internal Medicine PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

11440 Parkside Dr
Ste 302
Knoxville, TN 37934
Phone (865) 218-9220

2250 Sutherland Ave
Ste 121
Knoxville, TN 37919
Phone (865) 218-9220

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1225712730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 VICAR LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197242",
            "telephone_number": "423-293-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VICAR LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197242",
            "telephone_number": "423-293-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "EMMA",
        "middle_name": "RUTH",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "APN0000031715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.