Individual provider Active NPI

Zhanna Yurievna Efflandt, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1295222586
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23697 Issued in TN
Practice address
2100 Clinch Ave Ste 130
Knoxville, TN 37916-2224
Phone
(865) 546-3111
Fax
(865) 541-8629
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23697 TN Primary
Nurse Practitioner 363L00000X 23697 TN

Addresses

Primary practice location

2100 Clinch Ave Ste 130
Knoxville, TN 37916-2224

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other identifiers 1

IdentifierTypeStateIssuer
Q036958MedicaidTN

Other names 1

  • Zhanna Yurievna Dmitrieva Former name

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
I20220518001953 TN Practitioner - Nurse Practitioner 2860879533 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23697TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jul 5, 2022 Accepting new patients
Covenant Homecare CurrentSince Mar 14, 2022 Accepting new patients
Covenant Homecare CurrentSince Mar 14, 2022 Accepting new patients
Covenant Homecare Past Accepting new patients

Locations

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1295222586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 130",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162224",
            "telephone_number": "865-546-3111",
            "fax_number": "865-541-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFLANDT",
        "first_name": "ZHANNA",
        "middle_name": "YURIEVNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23697",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "23697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036958",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHANNA",
            "last_name": "DMITRIEVA",
            "middle_name": "YURIEVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.