Individual provider Active NPI

Edna Alvarez Thompson, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1477991669
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17335 Issued in TN
Practice address
2400 N Broadway St
Knoxville, TN 37917-4627
Phone
(855) 925-4733
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low-Risk Neonatal Registered Nurse 163WN0003X 17335 TN
Family Nurse Practitioner 363LF0000X 17335 TN Primary

Addresses

Primary practice location

2400 N Broadway St
Knoxville, TN 37917-4627

Mailing address

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-8200

Other practice location 1

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17335TNMDLow-Risk Neonatal Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 15, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2014 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 15, 2023 Accepting new patients
Medexpress Urgent Care, PC - Tennessee CurrentSince Feb 13, 2020 Accepting new patients
Medexpress Urgent Care, PC - Tennessee CurrentSince Feb 13, 2020 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2014 Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1 Bethel Valley Rd
Bldg 4500
Oak Ridge, TN 37830
Phone (865) 574-9355

1 Bethel Valley Rd
Oak Ridge, TN 37830
Phone (865) 574-7431

1118 N Gateway Ave
Rockwood, TN 37854
Phone (865) 444-4345

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 6

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477991669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625019",
            "telephone_number": "865-446-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N BROADWAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174627",
            "telephone_number": "855-925-4733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 Middle Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625019",
            "country_code": "US",
            "telephone_number": "865-446-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EDNA",
        "middle_name": "ALVAREZ",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "TN",
            "license": "17335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.