Individual provider Active NPI

Geneva Lynne Worthington, NURSE PRACTITIONER

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1558843235
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24692 Issued in TN
Practice address
135 Lovell Rd
Knoxville, TN 37934-1904
Phone
(865) 392-1500
Fax
(865) 392-1402
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24692 TN Primary

Addresses

Primary practice location

135 Lovell Rd
Knoxville, TN 37934-1904

Mailing address

135 Lovell Rd
Knoxville, TN 37934-1904
Phone (865) 392-1500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24692TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Medical Clinic PastSince Jan 1, 2013 Accepting new patients
Fountain of Youth Medical LLC Past Accepting new patients

Organizations & group practices 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1558843235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LOVELL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341904",
            "telephone_number": "865-392-1500",
            "fax_number": "865-392-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LOVELL RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341904",
            "telephone_number": "865-392-1500",
            "fax_number": "865-392-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "GENEVA",
        "middle_name": "LYNNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "24692",
            "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 Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.