Active NPI
Amber Bennett Wetherington, CPNP
- Pediatric Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1609020122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 13986
- Practice address
- 2100 Clinch Ave Ste 310
Knoxville, TN 37916-2220 - Phone
- (865) 673-9315
- Fax
- (877) 850-9131
- NPI assigned
- Nov 11, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 13986 | TN | Primary |
Addresses
Primary practice location
2100 Clinch Ave Ste 310
Knoxville, TN 37916-2220
Mailing address
PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895
Other practice location 1
1025 Childrens Way
Knoxville, TN 37922-7713
Phone (865) 673-9315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517544 | Medicaid | TN |
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13986 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Children'S Hospital Association, Inc. | 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Knoxville, TN
- NPI 1912649518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1609020122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15004",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379015004",
"telephone_number": "865-541-8895",
"fax_number": "865-633-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CLINCH AVE STE 310",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162220",
"telephone_number": "865-673-9315",
"fax_number": "877-850-9131"
}
],
"practiceLocations": [
{
"address_1": "1025 Childrens Way",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379227713",
"country_code": "US",
"telephone_number": "865-673-9315",
"fax_number": "877-850-9131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETHERINGTON",
"first_name": "AMBER",
"middle_name": "BENNETT",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "13986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517544",
"state": "TN"
}
],
"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 Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.