Individual provider Active NPI

Tamara M Johnson, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1316248354
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15282 Issued in TN
Practice address
116 Agnes Rd Ste 200
Knoxville, TN 37919-6306
Phone
(901) 341-7200
Fax
(901) 545-3200
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15282 TN Primary
Family Nurse Practitioner 363LF0000X 15282 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 305486 AZ

Addresses

Primary practice location

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306

Mailing address

1079 N Houston Levee Rd Ste 107
Cordova, TN 38018-6814
Phone (901) 341-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110124001153 TN Practitioner - Nurse Practitioner 9234318197 Reassigns benefits to 4 organizations
I20250729001018 AZ Practitioner - Nurse Practitioner 9234318197 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15282TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Sep 16, 2024 Accepting new patients
Mod Holistics PLLC CurrentSince Oct 6, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 31, 2024 Accepting new patients
Phillip R. Bowden, M.D.,P.a. CurrentSince Jul 30, 2012 Accepting new patients
Alliance Healthcare Services CurrentSince Jun 20, 2016 Accepting new patients
Alliance Healthcare Services CurrentSince Jun 20, 2016 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

758 Walnut Knoll Ln
Ste 201
Cordova, TN 38018
Phone (901) 341-7200

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200

3628 Summer Ave
Memphis, TN 38122
Phone (901) 369-1420

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

114 E Court Sq
Somerville, TN 38068
Phone (901) 465-7141

Organizations & group practices 7

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1316248354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 N HOUSTON LEVEE RD STE 107",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186814",
            "telephone_number": "901-341-7200",
            "fax_number": "901-545-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 AGNES RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196306",
            "telephone_number": "901-341-7200",
            "fax_number": "901-545-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15282",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15282",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "305486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.