Individual provider Active NPI

Jacquelyn Elise Freeman Farr

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1265305353
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39506 Issued in TN
Practice address
10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980
Phone
(865) 647-3350
Fax
(865) 671-2666
NPI assigned
Sep 25, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 39506 TN Primary

Addresses

Primary practice location

10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980

Mailing address

10810 Parkside Dr Ste 109
Knoxville, TN 37934-1980
Phone (865) 647-3350

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
I20260223003823 TN Practitioner - Nurse Practitioner 9234610759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Suite 109
Knoxville, TN 37934-1980
Phone (865) 647-3350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39506TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC Family CurrentSince Feb 9, 2026 Accepting new patients

Locations

10810 Parkside Dr
Ste 109
Knoxville, TN 37934
Phone (865) 218-7480

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1265305353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-647-3350",
            "fax_number": "865-671-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341980",
            "telephone_number": "865-647-3350",
            "fax_number": "865-671-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "JACQUELYN",
        "middle_name": "ELISE FREEMAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.