Nancy Gumberts Killgore, ANP BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN0000013477 Issued in TN

Practice address

9430 Parkwest Boulevard
Suite 240
Knoxville, TN 37923-4204

Phone

(865) 694-9886

Fax

(865) 694-5023

NPI assigned

Jul 8, 2008

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Knoxville Center for Dermatology and Plastic Surgery, PL

  • Clinic/Center
  • Knoxville, TN
  • NPI 1942703848
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1649433806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARKWEST BOULEVARD",
            "address_2": "SUITE 240",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234204",
            "telephone_number": "865-694-9886",
            "fax_number": "865-694-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARKWEST BOULEVARD",
            "address_2": "SUITE 240",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234204",
            "telephone_number": "865-694-9886",
            "fax_number": "865-694-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLGORE",
        "first_name": "NANCY",
        "middle_name": "GUMBERTS",
        "name_prefix": "Mrs.",
        "credential": "ANP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000013477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Parker Kilgore
• Ronald Loy Kilgore, DDS
• Courtney Kilgour, LPC
• Anna Catherine Kill
• James A Killeffer, MD
• Andrew Killion, MD
• Donald E. Killion, FNP-C
• Lindsey Killion
• Krystal Cameron Killom, FNP-BC
• Torey Michael Killom, D.O.

• Adult Health Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.