Individual provider Active NPI

Regena L Gosnell, APN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1477823839
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000016370 Issued in TN
Practice address
320 N Park 40 Blvd
Suite a
Knoxville, TN 37923-3624
Phone
(865) 692-3462
Fax
(865) 692-3463
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 APN0000016370 TN Primary

Addresses

Primary practice location

320 N Park 40 Blvd
Suite a
Knoxville, TN 37923-3624

Mailing address

320 N Park 40 Blvd
Suite a
Knoxville, TN 37923-3624
Phone (865) 692-3462

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
I20120305000306 TN Practitioner - Nurse Practitioner 0547429961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Medical Associates PCGroup PAC ID 9830163856, 7 clinicians

Practice addresses (Care Compare)

9314 Parkwest Blvd
Suite 300
Knoxville, TN 37923-4300
Phone (865) 693-5450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000016370TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medical Associates PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

9314 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 690-9475

9301 Park West Blvd
#2
Knoxville, TN 37923
Phone (865) 693-5450

7650 Dannaher Dr
Ste 200
Powell, TN 37849
Phone (865) 637-8635

Interoperability endpoints

  • Direct secure messaging: rgosnell29651@direct.acumenmd.com

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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1477823839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N PARK 40 BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N PARK 40 BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-692-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "REGENA",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.