Individual provider Active NPI

Stephanie Michelle Carter, APRN, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1366270761
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36750 Issued in TN
Practice address
1928 Alcoa Hwy Ste B222
Knoxville, TN 37920-1504
Phone
(865) 305-9254
Fax
(865) 305-4589
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 36750 TN Primary

Addresses

Primary practice location

1928 Alcoa Hwy Ste B222
Knoxville, TN 37920-1504

Mailing address

1928 Alcoa Hwy Ste B222
Knoxville, TN 37920-1504
Phone (865) 305-9254

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
I20250227003310 TN Practitioner - Nurse Practitioner 3375063795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Urology PCGroup PAC ID 4486677978, 15 clinicians

Practice addresses (Care Compare)

1928 Alcoa Hwy
Suite B222
Knoxville, TN 37920-1504
Phone (865) 305-9254

2046 Town Ctr Blvd
Knoxville, TN 37922-6677
Phone (865) 305-9254

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36750TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology PC CurrentSince Nov 21, 2024 Accepting new patients

Locations

1928 Alcoa Hwy
Ste B222
Knoxville, TN 37920
Phone (865) 544-9254

1928 Alcoa Hwy
Ste 222
Knoxville, TN 37920
Phone (865) 544-9740

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1366270761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE B222",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201504",
            "telephone_number": "865-305-9254",
            "fax_number": "865-305-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE B222",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201504",
            "telephone_number": "865-305-9254",
            "fax_number": "865-305-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.