Individual provider Active NPI

Tricia W Underwood, N.P.

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1285639369
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6682 Issued in TN
Practice address
9330 Park West Blvd Ste 402
Knoxville, TN 37923-4312
Phone
(865) 690-3003
Fax
(865) 374-2143
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN6682 TN
Family Nurse Practitioner 363LF0000X 6682 TN Primary

Addresses

Primary practice location

9330 Park West Blvd Ste 402
Knoxville, TN 37923-4312

Mailing address

9330 Park West Blvd Ste 402
Knoxville, TN 37923-4312
Phone (865) 690-3003

Other identifiers 1

IdentifierTypeStateIssuer
Q019387MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address underwood.tricia@covenanthealth.cernerdirect.com

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
I20111017000048 TN Practitioner - Nurse Practitioner 7911179031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

711 Cook Dr
Athens, TN 37303-3499
Phone (423) 744-7585

711 Cook Dr
Suite 220
Athens, TN 37303-3486
Phone (423) 381-8478

719 Cook Dr
Athens, TN 37303-3495

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6682TNMDUrology Physician
APN6682TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Feb 18, 2019 Accepting new patients
Athens Physicians Practice LLC CurrentSince Mar 2, 2022 Accepting new patients
Athens Physicians Practice, LLC Current Accepting new patients
Covenant Medical Group, Inc CurrentSince Feb 18, 2019 Accepting new patients
Athens Physicians Practice LLC Family CurrentSince Mar 2, 2022 Accepting new patients
Athens Physicians Practice LLC Family Past Accepting new patients

Locations

719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770

711 Cook Dr
Ste 100
Athens, TN 37303
Phone (423) 744-7585

1031 W Madison Ave
Athens, TN 37303
Phone (423) 745-6575

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585

Dept 888179
Knoxville, TN 37995

9330 Park West Blvd
Ste 402
Knoxville, TN 37923
Phone (865) 690-3003

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: tricia.underwood.1@19363.direct.athenahealth.com

Organizations & group practices 6

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 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1285639369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234312",
            "telephone_number": "865-690-3003",
            "fax_number": "865-374-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234312",
            "telephone_number": "865-690-3003",
            "fax_number": "865-374-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "TRICIA",
        "middle_name": "W",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN6682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019387",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "underwood.tricia@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9330 Park West Blvd Ste 402",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.