NPIMap

Individual provider Active NPI

Keri Fisher, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1508856931
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1034 Issued in TN
Practice address
9330 Park West Blvd
Suite 202
Knoxville, TN 37923-4308
Phone
(865) 691-4850
Fax
(865) 694-8018
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1034 TN Primary

Addresses

Primary practice location

9330 Park West Blvd
Suite 202
Knoxville, TN 37923-4308

Mailing address

9330 Park West Blvd
Suite 202
Knoxville, TN 37923-4308
Phone (865) 691-4850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fisher.keri@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001262 TN Practitioner - Physician Assistant 9436040664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554

220 S Cross St
Oneida, TN 37841-2323
Phone (800) 697-4850

6600 Nightingale LN
Knoxville, TN 37909-2754
Phone (865) 632-5885

9330 Park W Blvd
Suite 200
Knoxville, TN 37923-4310
Phone (865) 373-5100

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1974

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1034TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Physician Assistant CurrentSince May 1, 2010 Accepting new patients
Covenant Medical Group, Inc CurrentSince May 1, 2010 Accepting new patients
MPS-Cardiology LLC Current Accepting new patients
East Tennessee Heart Consultants, P.C. Past Accepting new patients
Cardiology Associates of Mobile Inc Past Accepting new patients

Locations

9320 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-7100

Dept 888179
Knoxville, TN 37995

101 E Blount Ave
Ste 300
Knoxville, TN 37920
Phone (865) 549-7503

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

220 S Cross St
Oneida, TN 37841
Phone (423) 569-8554

Interoperability endpoints

  • Direct secure messaging: fisher.keri@covenanthealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1508856931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234308",
            "telephone_number": "865-691-4850",
            "fax_number": "865-694-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234308",
            "telephone_number": "865-691-4850",
            "fax_number": "865-694-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KERI",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fisher.keri@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9330 Park West Blvd",
            "address_2": "Suite 202",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.