Individual provider Active NPI

Gabrielle Gegenheimer, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1285483503
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36344 Issued in TN
Practice address
1523 Dempsey Rd
Knoxville, TN 37932-3092
Phone
(484) 635-7302
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 36344 TN Primary

Addresses

Primary practice location

1523 Dempsey Rd
Knoxville, TN 37932-3092

Mailing address

1523 Dempsey Rd
Knoxville, TN 37932-3092

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
I20241125000177 TN Practitioner - Nurse Practitioner 7911432240 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36344TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
His Hands Health Care Family CurrentSince Sep 1, 2024 Accepting new patients
Pediatric Choice LLC Past Accepting new patients
Abundant Pharmacy Services LLC PastSince Oct 1, 2022 Accepting new patients

Locations

2706 W Highway 11E
Strawberry Plains, TN 37871
Phone (865) 233-8071

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1285483503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 DEMPSEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 DEMPSEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323092",
            "telephone_number": "484-635-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGENHEIMER",
        "first_name": "GABRIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.