Individual provider Active NPI

Zachary Lyon Craig, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1346868635
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000030190 Issued in TN
Practice address
1716 Falcon Pointe Dr
Knoxville, TN 37922-6397
Phone
(865) 661-4711
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000030190 TN Primary

Addresses

Primary practice location

1716 Falcon Pointe Dr
Knoxville, TN 37922-6397

Mailing address

1716 Falcon Pointe Dr
Knoxville, TN 37922-6397
Phone (865) 661-4711

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
I20211026001502 TN Practitioner - Nurse Practitioner 8628466505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

441 S Illinois Ave
Oak Ridge, TN 37830-7510
Phone (865) 685-0767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000030190TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University Health System, Inc Family CurrentSince Oct 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 2, 2022 Accepting new patients
University Health System Inc CurrentSince Oct 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 2, 2022 Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

13013 Kingston Pike
Knoxville, TN 37934
Phone (865) 263-8374

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

2019 Jacksboro Pike
La Follette, TN 37766
Phone (423) 437-3093

441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767

1181 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 446-1433

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.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1346868635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 FALCON POINTE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226397",
            "telephone_number": "865-661-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 FALCON POINTE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226397",
            "telephone_number": "865-661-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ZACHARY",
        "middle_name": "LYON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000030190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.