Active NPI
Addison Clay Leinart, PA-C
- Physician Assistant
- Knoxville, TN
National Provider Identifier
1639768237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4365
- Practice address
- 6484 Kingston Pike
Knoxville, TN 37919-4863 - Phone
- (865) 690-4891
- Fax
- (865) 602-7757
- NPI assigned
- Jan 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4365 | TN | |
| Physician Assistant | 363A00000X | 4365 | TN | Primary |
Addresses
Primary practice location
6484 Kingston Pike
Knoxville, TN 37919-4863
Mailing address
PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-7725
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4365 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1639768237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32569",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379302569",
"telephone_number": "865-694-7725",
"fax_number": "865-602-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6484 KINGSTON PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194863",
"telephone_number": "865-690-4891",
"fax_number": "865-602-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINART",
"first_name": "ADDISON",
"middle_name": "CLAY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "4365",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "4365",
"primary": true
}
],
"identifiers": [],
"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 Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.