Individual provider Active NPI

Caryn Lynn Pickens, FNP-BC

  • Family Nurse Practitioner
  • Pigeon Forge, TN
National Provider Identifier
1699366070
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000028702 Issued in TN
Practice address
2656 Parkway Ste 4
Pigeon Forge, TN 37863-3392
Phone
(423) 353-2339
NPI assigned
Jan 28, 2021
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000028702 TN Primary

Addresses

Primary practice location

2656 Parkway Ste 4
Pigeon Forge, TN 37863-3392

Mailing address

PO Box 1502
Seymour, TN 37865-1502
Phone (423) 353-2339

Other practice location 1

1015 E Parkway
Gatlinburg, TN 37738-5057
Phone (865) 412-1225

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
I20210331001935 TN Practitioner - Nurse Practitioner 2769899145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of the Smokies LLC.Group PAC ID 4183905292, 5 clinicians

Practice addresses (Care Compare)

1015 E Pkwy
Gatlinburg, TN 37738-5057
Phone (865) 412-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000028702TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Urgent Care of the Smokies LLC CurrentSince Apr 22, 2024 Accepting new patients
Knoxville Hma Physician Management, LLC Family CurrentSince Dec 31, 2021 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

1015 E Parkway
Gatlinburg, TN 37738
Phone (865) 412-1225

1004 N Highway 92
Ste B
Jefferson City, TN 37760
Phone (865) 262-9226

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

2656 Parkway
Ste 4
Pigeon Forge, TN 37863
Phone (865) 366-3264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1699366070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1502",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378651502",
            "telephone_number": "423-353-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 PARKWAY STE 4",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633392",
            "telephone_number": "423-353-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 E Parkway",
            "address_purpose": "LOCATION",
            "city": "Gatlinburg",
            "state": "TN",
            "postal_code": "377385057",
            "country_code": "US",
            "telephone_number": "865-412-1225",
            "fax_number": "865-412-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "CARYN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000028702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pigeon Forge, TN

Sources for this page

Verify at the official NPI Registry.