Individual provider Active NPI

Elizabeth Ann Wishart, FNP-BC

  • Family Nurse Practitioner
  • Clinton, TN
National Provider Identifier
1457991713
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34236 Issued in TN
Practice address
2130 N Charles G Seivers Blvd
Clinton, TN 37716-6705
Phone
(865) 269-4260
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 245256 TN
Nurse's Aide 376K00000X
Family Nurse Practitioner 363LF0000X 34236 TN Primary

Addresses

Primary practice location

2130 N Charles G Seivers Blvd
Clinton, TN 37716-6705

Mailing address

418 S Gay St Ste 103
Knoxville, TN 37902-1127

Other names 1

  • Elizabeth Ann Durfee Former name

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
I20230830000721 TN Practitioner - Nurse Practitioner 9931562527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley MedicalGroup PAC ID 8820471881, 4 clinicians

Practice addresses (Care Compare)

418 S Gay St
Suite 103
Knoxville, TN 37902-1127
Phone (865) 474-9533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245256TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Family CurrentSince Jul 25, 2023 Accepting new patients

Locations

2130 N Charles G Seivers Blvd
Clinton, TN 37716
Phone (865) 269-4260

2545 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 352-6090

418 S Gay St
Ste 103
Knoxville, TN 37902
Phone (865) 474-9533

Organizations & group practices 1

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1457991713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S GAY ST STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379021127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 N CHARLES G SEIVERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166705",
            "telephone_number": "865-269-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHART",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "245256",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DURFEE",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

Verify at the official NPI Registry.