Individual provider Active NPI

Tiffany Long-Hill

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1427594324
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22071 Issued in TN
Practice address
7523 Maynardville Pike
Knoxville, TN 37938-3722
Phone
(865) 630-4302
Fax
(865) 630-4303
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 22071 TN Primary

Addresses

Primary practice location

7523 Maynardville Pike
Knoxville, TN 37938-3722

Mailing address

7523 Maynardville Pike
Knoxville, TN 37938-3722
Phone (865) 630-4302

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
I20170710001539 TN Practitioner - Nurse Practitioner 3870862790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

318 Prosperity Dr
Knoxville, TN 37923-4710
Phone (865) 299-7525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22071TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Jul 5, 2023 Accepting new patients
Knoxville Medical Group, LLC Family CurrentSince Sep 8, 2019 Accepting new patients
Innovative Infusions, LLC CurrentSince Jul 5, 2023 Accepting new patients

Locations

410 N Parrish Pl
Ste 3000
Hendersonville, TN 37075
Phone (615) 590-9503

318 Prosperity Dr
Knoxville, TN 37923
Phone (865) 299-7525

7523 Maynardville Pike
Knoxville, TN 37938
Phone (865) 630-4302

1855 Medical Center Pkwy
Ste G
Murfreesboro, TN 37129
Phone (629) 335-3826

601 Grassmere Park
Ste 19
Nashville, TN 37211
Phone (629) 240-1231

Organizations & group practices 3

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": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1427594324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7523 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383722",
            "telephone_number": "865-630-4302",
            "fax_number": "865-630-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7523 MAYNARDVILLE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383722",
            "telephone_number": "865-630-4302",
            "fax_number": "865-630-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG-HILL",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.