Holly Massengill, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000020080 Issued in TN

Practice address

1104 Merchant Dr
Knoxville, TN 37912-4706

Phone

(865) 357-5377

Fax

(865) 537-5379

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1568813194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MERCHANT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124706",
            "telephone_number": "865-357-5377",
            "fax_number": "865-537-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MERCHANT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124706",
            "telephone_number": "865-357-5377",
            "fax_number": "865-537-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGILL",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Massaro, MD
• Andrew Masselink
• Lendell Massengale Jr., D.D.S.
• Hannah Lee Massengill, RPHT
• Heather Massengill, APN
• Leslie Danielle Massengill
• Brandy Massey, ATC
• Jordan Rolen Massey, FNP-BC
• Katherine Kotsianas Massey, MSN, FNP-BC
• Nathaniel Chad Massey

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.