Individual provider Active NPI

Emily Dilmon Roberts, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1588031421
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22609 Issued in TN
Practice address
1930 Alcoa Hwy Ste 145
Knoxville, TN 37920-1546
Phone
(865) 305-9749
NPI assigned
Aug 26, 2015
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP08508 LA
Family Nurse Practitioner 363LF0000X 901504 MS
Family Nurse Practitioner 363LF0000X 22609 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy Ste 145
Knoxville, TN 37920-1546

Mailing address

2945 Elam Rd Apt E106
Murfreesboro, TN 37127-6165
Phone (225) 301-4285

Other practice location 1

2945 Elam Rd Apt E106
Murfreesboro, TN 37127-6165
Phone (225) 301-4285

Other identifiers 1

IdentifierTypeStateIssuer
2405756MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, NC, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160830001146 MS Practitioner - Nurse Practitioner 5294045688 Reassigns benefits to 1 organization
I20171018003618 TN Practitioner - Nurse Practitioner 5294045688 Reassigns benefits to 4 organizations
I20240523002181 NC Practitioner - Nurse Practitioner 5294045688 Reassigns benefits to 3 organizations
I20240719001913 VA Practitioner - Nurse Practitioner 5294045688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Jul 18, 2021 Accepting new patients
Hospital Medicine Associates LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Southeastern Medical Group, PC Nurse Practitioner CurrentSince Nov 13, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Apr 10, 2024 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

250 Hospital Dr
Highlands, NC 28741
Phone (336) 248-5161

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1588031421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 ELAM RD APT E106",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276165",
            "telephone_number": "225-301-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201546",
            "telephone_number": "865-305-9749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 Elam Rd Apt E106",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371276165",
            "country_code": "US",
            "telephone_number": "225-301-4285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "EMILY",
        "middle_name": "DILMON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2405756",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.