Edyth Patricia Cerone, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

22655 Issued in TN

Practice address

130 Mabry Hood Road
Suite 103
Knoxville, TN 37922

Phone

(865) 210-4686

Fax

(866) 688-3182

NPI assigned

Jul 7, 2017

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Mar 10, 2019 through Mar 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: edyceronepmhnp.edycerone@139027.advancedmd-direct.com

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1629590070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 NIGHBERT LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225400",
            "telephone_number": "865-806-2220",
            "fax_number": "865-966-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MABRY HOOD ROAD",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37922",
            "telephone_number": "865-210-4686",
            "fax_number": "866-688-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Nighbert Ln",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379225400",
            "country_code": "US",
            "telephone_number": "865-806-2220",
            "fax_number": "865-966-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERONE",
        "first_name": "EDYTH",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-10-31",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "22655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Family Psychiatry PC
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Centerwell Health Services USA, LLC (CenterWell Home Health)
• Cerebral Palsy Center for Handicapped Adults, Inc.
• Cerebrum TN PLLC
• Luis Felipe Cervera, MD
• George Chacko, MD
• Jessica Lauren Chadwell, PTA
• Emily Nicole Chadwick, MA
• Joyce Chadwick, RN

• Psychiatric/Mental Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.