Individual provider Active NPI

Farideh Golembiewski, FNP-BC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1407301229
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN21313 Issued in TN
Practice address
8025 Kingston Pike Ste 1
Knoxville, TN 37919-5582
Phone
(865) 293-5828
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN21313 TN Primary

Addresses

Primary practice location

8025 Kingston Pike Ste 1
Knoxville, TN 37919-5582

Mailing address

8025 Kingston Pike Ste 1
Knoxville, TN 37919-5582
Phone (865) 293-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1407301229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 KINGSTON PIKE STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195582",
            "telephone_number": "865-293-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 KINGSTON PIKE STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195582",
            "telephone_number": "865-293-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBIEWSKI",
        "first_name": "FARIDEH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN21313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.