Individual provider Active NPI

Andrea D Knight, FNP

  • Family Nurse Practitioner
  • Mount Juliet, TN
National Provider Identifier
1376598011
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12094 Issued in TN
Practice address
1097 Weston Dr Ste B
Mount Juliet, TN 37122-7207
Phone
(615) 909-3333
Fax
(615) 709-8886
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 12094 TN Primary

Addresses

Primary practice location

1097 Weston Dr Ste B
Mount Juliet, TN 37122-7207

Mailing address

1097 Weston Dr Ste B
Mount Juliet, TN 37122-7207
Phone (615) 909-3333

Other names 1

  • Miss Andrea D Weddle 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530002020 TN Practitioner - Nurse Practitioner 4486682812

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel O Fadare, MD, PA PastSince Dec 13, 2020 Accepting new patients
Glasgow OB GYN Specialists, PSC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1376598011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 WESTON DR STE B",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227207",
            "telephone_number": "615-909-3333",
            "fax_number": "615-709-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 WESTON DR STE B",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227207",
            "telephone_number": "615-909-3333",
            "fax_number": "615-709-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WEDDLE",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.