NPIMap

Individual provider Active NPI

Melanie Mitchell

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1376081380
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22294 Issued in TN
Practice address
103 Station Dr
Maryville, TN 37804-4190
Phone
(865) 724-1063
NPI assigned
Feb 9, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 22294 TN Primary

Addresses

Primary practice location

103 Station Dr
Maryville, TN 37804-4190

Mailing address

131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170405002515 TN Practitioner - Nurse Practitioner 2567748593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians
M3CGroup PAC ID 3375973936, 6 clinicians

Practice addresses (Care Compare)

1869 Crest Rd
Maryville, TN 37804-4304
Phone (865) 980-5200

9041 Executive Park Dr
Suite 250
Knoxville, TN 37923-4657
Phone (865) 298-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22294TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M3C Family CurrentSince Apr 26, 2020 Accepting new patients
Gibbs Family Practice, LLC Family CurrentSince Dec 9, 2017 Accepting new patients
Family Medical Care Center, LLC Family PastSince Dec 9, 2017 Accepting new patients

Locations

7331 Tazewell Pike
Corryton, TN 37721
Phone (865) 249-8044

136 Canton Hollow Rd
Knoxville, TN 37934
Phone (865) 392-1300

3222 Byington Beaver Ridge Rd
Knoxville, TN 37931
Phone (865) 230-1500

400 Herron Rd
Knoxville, TN 37934
Phone (276) 698-6081

9041 Executive Park Dr
Ste 250
Knoxville, TN 37923
Phone (800) 638-6771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12578/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1376081380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE RD",
            "address_2": "SUITE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 STATION DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044190",
            "telephone_number": "865-724-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.