Active NPI
Destiny Lenaye Morris, FNP-C
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1518328095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.