Active NPI
Samantha Hudson Purnell, FNP
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17498
- Practice address
- 9333 Park West Blvd Ste 200
Knoxville, TN 37923-4317 - Phone
- (865) 531-4600
- Fax
- (865) 690-2271
- NPI assigned
- Mar 18, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17498 | TN | Primary |
Addresses
Primary practice location
9333 Park West Blvd Ste 200
Knoxville, TN 37923-4317
Mailing address
1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747
Other names 1
- Samantha L. Hudson
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130528000513 | TN | Practitioner - Nurse Practitioner | 8820236128 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Lincoln Memorial University Medical Department, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group, PLLC
Practice addresses (Care Compare)
9333 Park W Blvd
Suite 102
Knoxville, TN 37923-4305
Phone (865) 470-2696
Hospital & facility affiliations
- Amedisys Home Health Care
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Knoxville Heart Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group PLLC | Past | Accepting new patients | |
| Summit Medical Group,PLLC | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1819 Clinch Ave
Ste 108
Knoxville, TN 37916
Phone (865) 541-4062
1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
9333 Park West Blvd
Ste 102
Knoxville, TN 37923
Phone (865) 470-2696
Interoperability endpoints
- samantha.purnell.1@20785.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Powell, TN
- NPI 1609955970
-
- Pediatrics Physician
- Knoxville, TN
- NPI 1326551797
-
- Family Medicine Physician
- Oak Ridge, TN
- NPI 1437238797
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
-
- Internal Medicine Physician
- Cookeville, TN
- NPI 1588362164
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Knoxville, TN
- NPI 1710935408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1649512641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 DICK LONAS RD UNIT 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379091383",
"telephone_number": "865-584-4747",
"fax_number": "865-584-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 PARK WEST BLVD STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234317",
"telephone_number": "865-531-4600",
"fax_number": "865-690-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURNELL",
"first_name": "SAMANTHA",
"middle_name": "HUDSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "17498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "HUDSON",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.