Individual provider Active NPI

Tiffany Farmer, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1558906818
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26535 Issued in TN
Practice address
9625 Kroger Park Dr
Knoxville, TN 37922-5880
Phone
(865) 690-6299
NPI assigned
Nov 11, 2019
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 26535 TN Primary

Addresses

Primary practice location

9625 Kroger Park Dr
Knoxville, TN 37922-5880

Mailing address

9625 Kroger Park Dr
Knoxville, TN 37922-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200526002479 TN Practitioner - Nurse Practitioner 8628499852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Urgent Care Centers, LLCGroup PAC ID 5597015065, 24 clinicians

Practice addresses (Care Compare)

9625 Kroger Park Dr
Suite 300
Knoxville, TN 37922-5880
Phone (865) 690-6299

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Urgent Care Centers LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

9625 Kroger Park Dr
Ste 300
Knoxville, TN 37922
Phone (865) 539-2287

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1558906818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225880",
            "telephone_number": "865-690-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.