Individual provider Active NPI

Mandy Hileman, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1457984403
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24517 Issued in TN
Practice address
4435 Valley View Dr Ste 103
Knoxville, TN 37917-1300
Phone
(865) 544-6222
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 24517 TN Primary

Addresses

Primary practice location

4435 Valley View Dr Ste 103
Knoxville, TN 37917-1300

Mailing address

2419 Myloshane LN
Knoxville, TN 37931-3851
Phone (423) 748-1691

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24517TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of TN Medical Center Home Care Services, LLC PastSince Feb 23, 2020 Accepting new patients
Southeast Eight Medical Group, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1457984403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 MYLOSHANE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313851",
            "telephone_number": "423-748-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 VALLEY VIEW DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171300",
            "telephone_number": "865-544-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILEMAN",
        "first_name": "MANDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24517",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 18, 2020; 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.