Olivia M Guthrie, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2288 Issued in TN

Practice address

9430 Park West Blvd
Suite 110
Knoxville, TN 37923-4200

Phone

(865) 694-8353

Fax

(865) 693-0338

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Faculty Physicians Knoxville, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
  • NPI 1205595360
  Medicare reassignment

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1285973362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 CROSS PARK DR",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234505",
            "telephone_number": "865-694-7725",
            "fax_number": "865-483-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD",
            "address_2": "SUITE 110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234200",
            "telephone_number": "865-694-8353",
            "fax_number": "865-693-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "OLIVIA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anand Gupta
• Madison Gray Gurley, FNP-BC
• Mark Thomas Gurley, M.D.
• Ingrid Anna Gurney, REGISTERED NURSE
• Maksim Gusev, MD
• Ashley Nicolle Gutierrez Santana, MD
• Courtney Elizabeth Gutman, M.D.
• Thomas R. Gutridge, LPC-MHSP
• Elizabeth Guy
• Theresa Guy

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.