Individual provider Active NPI

Brianne Janee Blevins, PSYD

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1376021741
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3684 Issued in TN
Practice address
1128 E Weisgarber Rd Ste 210
Knoxville, TN 37909-2676
Phone
(865) 264-2400
Fax
(865) 588-6406
NPI assigned
Jul 30, 2018
Last updated
Jul 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3684 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1128 E Weisgarber Rd Ste 210
Knoxville, TN 37909-2676

Mailing address

1128 E Weisgarber Rd Ste 210
Knoxville, TN 37909-2676
Phone (864) 264-2400

Other practice location 1

2018 Western Ave
Knoxville, TN 37921-5718
Phone (865) 544-0406

Other names 1

  • Brianne Janee Huddleston 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005000104 TN Practitioner - Clinical Psychologist 2668891029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
JC Edwards School of Medicine, Marshall University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Medicine Institute PCGroup PAC ID 4284828385, 21 clinicians

Practice addresses (Care Compare)

2607 Kingston Pike
Suite 250
Knoxville, TN 37919-3331
Phone (865) 264-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Institute PC Clinical CurrentSince Jul 3, 2020 Accepting new patients
Denise M. Stillman, PHD., PC Clinical PastSince Jul 5, 2020 Accepting new patients

Locations

1128 E Weisgarber Rd
Ste 210
Knoxville, TN 37909
Phone (865) 264-2400

1540 Member Ln
Ste 100
Knoxville, TN 37909
Phone (865) 579-0552

2607 Kingston Pike
Ste 250
Knoxville, TN 37919
Phone (865) 264-2400

6231 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 264-2400

575 Oak Ridge Tpke
Ste 110
Oak Ridge, TN 37830
Phone (865) 579-0552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1376021741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 E WEISGARBER RD STE 210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092676",
            "telephone_number": "864-264-2400",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 E WEISGARBER RD STE 210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092676",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379215718",
            "country_code": "US",
            "telephone_number": "865-544-0406",
            "fax_number": "865-544-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "BRIANNE",
        "middle_name": "JANEE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3684",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "HUDDLESTON",
            "middle_name": "JANEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.