Active NPI
Abigail Bottomley, N.P.
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1538618988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21823
- Practice address
- 10810 Parkside Dr
Suite 103
Knoxville, TN 37934-1979 - Phone
- (865) 218-6250
- Fax
- (865) 218-6251
- NPI assigned
- Sep 27, 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 | 21823 | TN | Primary |
Addresses
Primary practice location
10810 Parkside Dr
Suite 103
Knoxville, TN 37934-1979
Mailing address
2020 Del Monte Ave Ste B
Monterey, CA 93940-2401
Phone (831) 622-6930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21823 | TN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mogo Urgent Care | Past | Accepting new patients |
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.
-
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- Marina, CA
- NPI 1326660598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1538618988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 DEL MONTE AVE STE B",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402401",
"telephone_number": "831-622-6930",
"fax_number": "831-622-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR",
"address_2": "SUITE 103",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341979",
"telephone_number": "865-218-6250",
"fax_number": "865-218-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTOMLEY",
"first_name": "ABIGAIL",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2021-04-14",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.