Individual provider Active NPI

Joellen Beth Edwards

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1447742259
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21659 Issued in TN
Practice address
10805 Harding Dr
Knoxville, TN 37932-3240
Phone
(865) 966-3343
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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 21659 TN Primary

Addresses

Primary practice location

10805 Harding Dr
Knoxville, TN 37932-3240

Mailing address

5286 Avery Woods LN
Knoxville, TN 37921-5242
Phone (423) 329-0944

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
I20180829001632 TN Practitioner - Nurse Practitioner 7911257761 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit View Health Services, LLC Family CurrentSince Jun 14, 2018 Accepting new patients
Renuven Aco PLLC CurrentSince Jun 18, 2025 Accepting new patients
Integrated Health Transitions, PLLC CurrentSince Aug 15, 2019 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

1204 Frye St
Athens, TN 37303
Phone (423) 745-0434

101 Walnut Ln
Columbia, TN 38401
Phone (931) 381-3112

815 S Walnut Ave
Cookeville, TN 38501
Phone (931) 528-5516

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

2300 Pavilion Dr
Kingsport, TN 37660
Phone (423) 765-9655

10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444

809 E Emerald Ave
Knoxville, TN 37917
Phone (865) 524-7366

2120 Highland Ave
Knoxville, TN 37916
Phone (865) 386-6392

3916 Boyds Bridge Pike
Knoxville, TN 37914
Phone (865) 523-1500

Organizations & group practices 4

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1447742259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5286 AVERY WOODS LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215242",
            "telephone_number": "423-329-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 HARDING DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323240",
            "telephone_number": "865-966-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOELLEN",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.