Individual provider Active NPI

Amber Tayman, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1700200771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN18388 Issued in TN
Practice address
1400 Dowell Springs Blvd Ste 100
Knoxville, TN 37909-2457
Phone
(865) 888-9494
Fax
(865) 444-7672
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN189477 TN
Family Nurse Practitioner 363LF0000X APN18388 TN Primary

Addresses

Primary practice location

1400 Dowell Springs Blvd Ste 100
Knoxville, TN 37909-2457

Mailing address

11424 Hickory Springs Dr
Knoxville, TN 37932-3139
Phone (865) 368-8887

Other identifiers 1

IdentifierTypeStateIssuer
Q003835MedicaidTN

Other names 1

  • Amber Marie Miner Former name

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
I20140516000176 TN Practitioner - Nurse Practitioner 3375766520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Neuroscience Clinic LLCGroup PAC ID 6305259367, 3 clinicians

Practice addresses (Care Compare)

1400 Dowell Springs Blvd
Suite 340
Knoxville, TN 37909-2445
Phone (865) 888-9494

Merit-based Incentive Payment System (MIPS)

Final score
94.58 of 100Reported as group
Quality
95.63
Improvement activities
40
Cost
87.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN189477TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 18, 2016 Accepting new patients
Genesis Neuroscience Clinic LLC CurrentSince Jan 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 18, 2016 Accepting new patients
Sr Medical Services, LLC Past Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

1400 Dowell Springs Blvd
Ste 340
Knoxville, TN 37909
Phone (865) 588-1605

Organizations & group practices 5

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700200771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 HICKORY SPRINGS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323139",
            "telephone_number": "865-368-8887",
            "fax_number": "865-444-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092457",
            "telephone_number": "865-888-9494",
            "fax_number": "865-444-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYMAN",
        "first_name": "AMBER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN189477",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN18388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003835",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MINER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.