Elder Care of Knoxville, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN0000007432 Issued in TN

Legal business name

ELDER CARE OF KNOXVILLE, LLC

Practice address

5112 Malibu Dr
Knoxville, TN 37918-4513

Phone

(865) 804-5306

Fax

(865) 689-1981

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Heather T. Lee, APN, GCNS-BCNPI 1942249743

Title

Sole Member

Phone

(865) 386-3148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 5

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

• Heather T. Lee, APN, GCNS-BC

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1942249743
  Medicare reassignment Authorized official
• Julia Vernice Ball, MSN, FNP-BC

  • Addiction Medicine (Family Medicine) Physician
  • Knoxville, TN
  • NPI 1336615871
  Medicare reassignment NPD
• Katlyn Smith, FNP

  • Family Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1114406105
  Medicare reassignment NPD
• Jesi Briona Wright, APRN, FNP-C

  • Nurse Practitioner
  • Sevierville, TN
  • NPI 1740576545
  Medicare reassignment NPD
• Whitaker Michael Smith, MD

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1003827205
  Medicare reassignment

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1467774331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5649",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379280649",
            "telephone_number": "865-804-5306",
            "fax_number": "865-689-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 MALIBU DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184513",
            "telephone_number": "865-804-5306",
            "fax_number": "865-689-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE OF KNOXVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "865-386-3148",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN, GCNS-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000007432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Eisenstadt, MD
• Katia El-Najjar
• Lori Lea Elam, BS
• Elcm Knoxville Leasing LLC
• Elcm Knoxville Management LLC
• Charles Elder
• Robert F Elder, M.D.
• Shirley Elder
• Gretchen Eldridge, BSW
• Hannah Deann Eldridge, COTA

• Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.