Individual provider Active NPI

Katherine E Bentley-Knowles, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1285832725
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2010010654 Issued in TN
Practice address
347 High St
Maryville, TN 37804-5831
Phone
(865) 724-1544
Fax
(865) 724-1545
NPI assigned
Jul 6, 2007
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2010010654 TN Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

347 High St
Maryville, TN 37804-5831

Mailing address

347 High St
Maryville, TN 37804-5831
Phone (865) 724-1544

Other identifiers 1

IdentifierTypeStateIssuer
1524567MedicaidTN

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
I20110727000441 TN Practitioner - Nurse Practitioner 8921276452 Practice locations: Knoxville, TN; La Follette, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9111 Cross Park Dr
Suite D200
Knoxville, TN 37923-4521
Phone (865) 724-1544

923 E Central Ave
La Follette, TN 37766-2768
Phone 865689442110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010010654TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Path PLLC Psychiatric/Mental Health PastSince Aug 14, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1285832725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 HIGH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045831",
            "telephone_number": "865-724-1544",
            "fax_number": "865-724-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 HIGH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045831",
            "telephone_number": "865-724-1544",
            "fax_number": "865-724-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY-KNOWLES",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "2010010654",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524567",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.