Individual provider Active NPI

Timothy Alan Fox, N.P.

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1437158961
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000007219 Issued in TN
Practice address
135 Lovell Road
Knoxville, TN 37934-1904
Phone
(865) 392-1500
Fax
(865) 392-1402
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 106268 TN
Family Nurse Practitioner 363LF0000X APN0000007219 TN Primary

Addresses

Primary practice location

135 Lovell Road
Knoxville, TN 37934-1904

Mailing address

135 Lovell Road
Knoxville, TN 37934-1904
Phone (865) 392-1400

Other identifiers 2

IdentifierTypeStateIssuer
4121510OtherBLUE CROSS
3928997MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106268TNMDNurse Practitioner
APN0000007219TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Medical Clinic CurrentSince Jan 1, 2013 Accepting new patients
Fountain of Youth Medical LLC Nurse Practitioner PastSince Jan 1, 2013 Accepting new patients

Locations

135 Lovell Rd
Knoxville, TN 37934
Phone (865) 392-1400

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1437158961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LOVELL ROAD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341904",
            "telephone_number": "865-392-1400",
            "fax_number": "865-392-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LOVELL ROAD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341904",
            "telephone_number": "865-392-1500",
            "fax_number": "865-392-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "106268",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4121510",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3928997",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.