Individual provider Active NPI

Paromita Yunsan, ANP

  • Family Nurse Practitioner
  • Clinton, TN
National Provider Identifier
1235429614
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15801 Issued in TN
Practice address
221A Frank L Diggs Dr
Clinton, TN 37716-6959
Phone
(865) 457-4747
Fax
(865) 467-4785
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 15801 TN Primary

Addresses

Primary practice location

221A Frank L Diggs Dr
Clinton, TN 37716-6959

Mailing address

10714 Bald Cypress LN
Knoxville, TN 37922-6759
Phone (865) 414-8313

Other identifiers 1

IdentifierTypeStateIssuer
15801OtherTNANP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1235429614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 BALD CYPRESS LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226759",
            "telephone_number": "865-414-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A FRANK L DIGGS DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166959",
            "telephone_number": "865-457-4747",
            "fax_number": "865-467-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNSAN",
        "first_name": "PAROMITA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANP LICENSE",
            "identifier": "15801",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.