Organization Active NPI

Primary Care of TN, LLC

  • Family Health Clinical Nurse Specialist
  • Knoxville, TN
National Provider Identifier
1235498247
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
14589 Issued in TN
Legal business name
PRIMARY CARE OF TN, LLC
Practice address
11509 Hardin Valley Rd
Ste 103
Knoxville, TN 37932-2316
Phone
(865) 712-2499
Fax
(865) 381-1349
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Diane Knights, F.N.P.NPI 1437481462
Title
Owner
Phone
(865) 712-2499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 14589 TN Primary

Addresses

Primary practice location

11509 Hardin Valley Rd
Ste 103
Knoxville, TN 37932-2316

Mailing address

11509 Hardin Valley Rd
Ste 103
Knoxville, TN 37932-2316
Phone (865) 712-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000524 TN Part B Supplier - Clinic/Group Practice 2567628464 Receives reassigned benefits from 3 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

11509 Hardin Valley Rd
Ste 103
Knoxville, TN 37932
Phone (865) 200-4101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4686/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1235498247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 HARDIN VALLEY RD",
            "address_2": "STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322316",
            "telephone_number": "865-712-2499",
            "fax_number": "865-381-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11509 HARDIN VALLEY RD",
            "address_2": "STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322316",
            "telephone_number": "865-712-2499",
            "fax_number": "865-381-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "KNIGHTS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-712-2499",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TN",
            "license": "14589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.