Individual provider Active NPI

Destiny Lenaye Morris, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1518328095
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21062 Issued in TN
Practice address
312 Prosperity Dr Ste 103
Knoxville, TN 37923-4722
Phone
(865) 299-7525
Fax
(865) 338-5604
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 21062 TN Primary

Addresses

Primary practice location

312 Prosperity Dr Ste 103
Knoxville, TN 37923-4722

Mailing address

1647 Crosswinds TRL NE
Cleveland, TN 37312-5867
Phone (423) 400-4302

Other practice location 1

9137 Middlebrook Pike
Knoxville, TN 37923-1425
Phone (186) 638-9272

Other names 1

  • Destiny Lenaye Wheeler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726000835 TN Practitioner - Nurse Practitioner 5991098162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1518328095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 CROSSWINDS TRL NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125867",
            "telephone_number": "423-400-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PROSPERITY DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234722",
            "telephone_number": "865-299-7525",
            "fax_number": "865-338-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9137 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231425",
            "country_code": "US",
            "telephone_number": "186-638-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DESTINY",
        "middle_name": "LENAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "WHEELER",
            "middle_name": "LENAYE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.