Nicole Marie Elmore, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

32985 Issued in TN

Practice address

110 N Campbell Station Rd
Knoxville, TN 37934-2753

Phone

(865) 672-5070

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dowell Springs Behavioral Health, LLC

  • Psychiatric Hospital
  • Knoxville, TN
  • NPI 1255908174

  Single Specialty

  Medicare reassignment NPD
• National Physicians PC

  • Adult Medicine Physician
  • Knoxville, TN
  • NPI 1780112805

  Single Specialty

  Medicare reassignment NPD
• Pain Medicine of the South, PLLC

  • Pain Clinic/Center
  • Knoxville, TN
  • NPI 1558887125

  Single Specialty

  Medicare reassignment NPD
• Pain Medicine of the South, PLLC

  • Ambulatory Surgical Clinic/Center
  • Lenoir City, TN
  • NPI 1417817347

  Single Specialty

  NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1235848201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 MALACHI CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379186138",
            "telephone_number": "865-964-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CAMPBELL STATION RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342753",
            "telephone_number": "865-672-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tech Center Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379122747",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "245947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Denise Ellison
• Lauren Diane Ellsworth
• Elmer G. Pinzon
• Amanda Brooke Elmore, CPRS
• Lucas A Elmore, T-LMFT
• Elpizo Care Inc
• Stanton Elseroad, M.D.
• Amy Elswick
• Beverly Arlene Ely, FNP-C
• Daniel S Ely, M.D.

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.