Active NPI
Carrie Ferguson
- Registered Nurse
- Morristown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0000150069
- Practice address
- 320 W 3Rd North St
Morristown, TN 37814-4038 - Phone
- (423) 581-4761
- NPI assigned
- Mar 24, 2021
- Last updated
- Jun 2, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000150069 | TN | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0000150069 | TN |
Addresses
Primary practice location
320 W 3Rd North St
Morristown, TN 37814-4038
Mailing address
200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711
Other practice location 1
5302 Ball Camp Pike
Knoxville, TN 37921-3234
Phone (865) 523-4704
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 |
|---|---|---|---|
| 0000150069 | TN | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Ross McNabb Center | Current | Accepting new patients |
Locations
200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124
5302 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 523-4704
1012 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0112
320 W 3rd North St
Morristown, TN 37814
Phone (423) 273-5599
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1679159099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TECH CENTER DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379122747",
"telephone_number": "865-637-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 3RD NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144038",
"telephone_number": "423-581-4761"
}
],
"practiceLocations": [
{
"address_1": "5302 Ball Camp Pike",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379213234",
"country_code": "US",
"telephone_number": "865-523-4704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000150069",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "0000150069",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.