Individual provider Active NPI

Wendy L Lattimore, NP

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1457002875
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
30679 Issued in TN
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-6900
Phone
(865) 305-9201
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 30679 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-6900

Mailing address

2630 Nicholas View LN
Knoxville, TN 37931-3159
Phone (865) 438-5808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wlattimore1@utmck.edu

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
I20220224001221 TN Practitioner - Nurse Practitioner 6103210794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians
Marble City Medical PLLCGroup PAC ID 5991039166, 6 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

6010 Burnett Creek Rd
Knoxville, TN 37920-5446
Phone (865) 382-1007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30679TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Acute Care CurrentSince Feb 1, 2022 Accepting new patients
University Health System Inc CurrentSince Feb 1, 2022 Accepting new patients
Marble City Medical PLLC CurrentSince Jan 7, 2026 Accepting new patients
University Health System, Inc Current Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Interoperability endpoints

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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1457002875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 NICHOLAS VIEW LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313159",
            "telephone_number": "865-438-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206900",
            "telephone_number": "865-305-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIMORE",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "30679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wlattimore1@utmck.edu",
            "affiliation": "N",
            "address_1": "1924 Alcoa Hwy",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379206900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.