Individual provider Active NPI

Susan E Daffron, APRN, BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1275557944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6499 Issued in TN
Practice address
220 Fort Sanders West Blvd
Suite 308
Knoxville, TN 37922-3398
Phone
(865) 579-0552
Fax
(865) 579-1154
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6499 TN Primary

Addresses

Primary practice location

220 Fort Sanders West Blvd
Suite 308
Knoxville, TN 37922-3398

Mailing address

220 Fort Sanders West Blvd
Suite 308
Knoxville, TN 37922-3398
Phone (865) 579-0552

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
I20100924000301 TN Practitioner - Nurse Practitioner 0446376701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Consultants of East Tennessee, PLLCGroup PAC ID 3173424298, 18 clinicians

Practice addresses (Care Compare)

1540 Member LN
Suite 100
Knoxville, TN 37909-1231
Phone (865) 579-0552

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC CurrentSince Sep 23, 2012 Accepting new patients
Pain Consultants of East Tennessee, PLLC CurrentSince Aug 24, 1998 Accepting new patients

Locations

220 Fort Sanders West Blvd
Ste 308
Knoxville, TN 37922
Phone (865) 579-0552

1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552

1128 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone (865) 251-5215

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275557944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FORT SANDERS WEST BLVD",
            "address_2": "SUITE 308",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223398",
            "telephone_number": "865-579-0552",
            "fax_number": "865-579-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORT SANDERS WEST BLVD",
            "address_2": "SUITE 308",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223398",
            "telephone_number": "865-579-0552",
            "fax_number": "865-579-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFRON",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.