Individual provider Active NPI

Rebecca Mattison, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1386535292
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39098 Issued in TN
Practice address
1758 Hillwood Dr
Knoxville, TN 37920-2600
Phone
(865) 573-9621
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 39098 TN Primary

Addresses

Primary practice location

1758 Hillwood Dr
Knoxville, TN 37920-2600

Mailing address

1758 Hillwood Dr
Knoxville, TN 37920-2600

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
I20250917002463 TN Practitioner - Nurse Practitioner 0446754055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6010 Burnett Creek Rd
Knoxville, TN 37920-7721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39098TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marble City Medical PLLC CurrentSince Jun 27, 2025 Accepting new patients

Locations

1758 Hillwood Dr
Knoxville, TN 37920
Phone (865) 363-7124

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19899/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1386535292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 HILLWOOD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 HILLWOOD DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202600",
            "telephone_number": "865-573-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.