Individual provider Active NPI

Stephanie S Hawkins, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1689338642
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32075 Issued in TN
Practice address
310 W 3Rd North St
Morristown, TN 37814-4038
Phone
(865) 637-9711
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 212415 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32075 TN Primary

Addresses

Primary practice location

310 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

320 W 3rd North St
Morristown, TN 37814-4038
Phone (423) 581-4761

Other identifiers 1

IdentifierTypeStateIssuer
Q076992MedicaidTN

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
I20220930000242 TN Practitioner - Nurse Practitioner 9335525278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
212415TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center CurrentSince Aug 18, 2022 Accepting new patients

Locations

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

205 W Springdale Ave
Knoxville, TN 37917
Phone (865) 312-7278

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

5310 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 262-8208

1515 Saint Mary St
Knoxville, TN 37917
Phone (865) 213-1550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1689338642",
    "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": "310 W 3RD NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144038",
            "telephone_number": "865-637-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W 3rd North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378144038",
            "country_code": "US",
            "telephone_number": "423-581-4761",
            "fax_number": "423-581-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "212415",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q076992",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.