Organization Active NPI

Professional Integrated Healthcare (Pihc), PLLC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1467045971
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PROFESSIONAL INTEGRATED HEALTHCARE (PIHC), PLLC
Practice address
9221 Middlebrook Pike Ste 102
Knoxville, TN 37931-4764
Phone
(865) 219-1989
Fax
(865) 409-5974
NPI assigned
Feb 16, 2021
Organization subpart
Yes
Parent organization
PROFESSIONAL INTEGRATED HEALTHCARE (PIHC), PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Dana Webber, NP-CNPI 1598264434
Title
Owner/Provider
Phone
(865) 219-1989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9221 Middlebrook Pike Ste 102
Knoxville, TN 37931-4764

Mailing address

9221 Middlebrook Pike Ste 102
Knoxville, TN 37931-4764
Phone (865) 219-1989

Other identifiers 1

IdentifierTypeStateIssuer
Q045837MedicaidTN

Other names 1

  • Professional Integrated HealthCare (PIHC), PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220112002345 TN Part B Supplier - Clinic/Group Practice 7719379205 Receives reassigned benefits from 2 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Part of
Professional Integrated Healthcare Pihc PLLC

Locations

9627 Countryside Center Ln
Knoxville, TN 37931
Phone (865) 214-6672

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1467045971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 MIDDLEBROOK PIKE STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314764",
            "telephone_number": "865-219-1989",
            "fax_number": "865-409-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 MIDDLEBROOK PIKE STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314764",
            "telephone_number": "865-219-1989",
            "fax_number": "865-409-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL INTEGRATED HEALTHCARE (PIHC), PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL INTEGRATED HEALTHCARE (PIHC), PLLC",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "865-219-1989",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045837",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Integrated HealthCare (PIHC), PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Integrated HealthCare (PIHC), PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.