Organization Active NPI

Tennessee Preferred Medical, LLC

  • Adult Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1265746465
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN000002166 Issued in TN
Legal business name
TENNESSEE PREFERRED MEDICAL, LLC
Practice address
6221 Kingston Pike
Knoxville, TN 37919-4022
Phone
(865) 450-9191
Fax
(865) 450-9354
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Mrs. Tracy L Hawk
Title
Managing Member
Phone
(865) 450-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X APN000002166 TN Primary

Addresses

Primary practice location

6221 Kingston Pike
Knoxville, TN 37919-4022

Mailing address

6221 Kingston Pike
Knoxville, TN 37919-4022
Phone (865) 450-9191

National Provider Directory

National Provider Directory

Locations

6221 Kingston Pike
Knoxville, TN 37919
Phone (865) 450-9191

125 Town Creek Rd E
Lenoir City, TN 37772
Phone (865) 635-0015

Practitioners & affiliated clinicians

Practitioners 7

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": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1265746465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194022",
            "telephone_number": "865-450-9191",
            "fax_number": "865-450-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194022",
            "telephone_number": "865-450-9191",
            "fax_number": "865-450-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE PREFERRED MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "865-450-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN000002166",
            "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 Feb 9, 2011; 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.