Individual provider Active NPI

Amy Jo Noble, APRN

  • Family Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1639624067
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010416 Issued in KY
Practice address
200 New York Ave Ste 200
Oak Ridge, TN 37830-5225
Phone
(865) 835-5400
Fax
(865) 835-5401
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 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 3010416 KY Primary

Addresses

Primary practice location

200 New York Ave Ste 200
Oak Ridge, TN 37830-5225

Mailing address

Uk Division of Hematology BMT
800 Rose Street
Lexington, KY 40536-0001
Phone (859) 323-5768

Other practice location 1

Uk Division Of Hematology Bmt
800 Rose Street, CC140
Lexington, KY 40536
Phone (859) 257-6006

Other identifiers 1

IdentifierTypeStateIssuer
Q046281MedicaidTN

Other names 1

  • Amy Jo Blevins Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address noble.amy@covenanthealth.cernerdirect.com

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
I20190211000959 TN Practitioner - Nurse Practitioner 5496042897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Oncology Group CurrentSince Nov 26, 2018 Accepting new patients

Locations

8035 Roane Medical Center Dr
Ste 250
Harriman, TN 37748
Phone (865) 316-9636

8035 Roane Medical Center Dr
Ste 230
Harriman, TN 37748
Phone (865) 541-2835

9711 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 373-5050

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

576 Fort Loudon Medical Center Dr
Ste 203
Lenoir City, TN 37772
Phone (865) 271-6095

200 New York Ave
Ste 200
Oak Ridge, TN 37830
Phone (865) 331-1720

Interoperability endpoints

  • Direct secure messaging: noble.amy@covenanthealth.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1639624067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UK DIVISION OF HEMATOLOGY BMT",
            "address_2": "800 ROSE STREET",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5768",
            "fax_number": "859-257-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE STE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305225",
            "telephone_number": "865-835-5400",
            "fax_number": "865-835-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uk Division Of Hematology Bmt",
            "address_2": "800 Rose Street, CC140",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-257-6006",
            "fax_number": "859-257-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046281",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "noble.amy@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "200 New York Ave Ste 200",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378305225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BLEVINS",
            "middle_name": "JO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.