NPIMap

Organization Active NPI

Quick Care Clinic

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1700225133
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
QUICK CARE CLINIC
Practice address
9220 Dutchtown Rd Ste 104
Knoxville, TN 37923-2745
Phone
(865) 530-2873
NPI assigned
Jun 19, 2013
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Donna McCormick, NPNPI 1255494902
Title
Owner
Phone
(865) 530-2873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NU Primary

Addresses

Primary practice location

9220 Dutchtown Rd Ste 104
Knoxville, TN 37923-2745

Mailing address

9220 Dutchtown Rd Ste 104
Knoxville, TN 37923-2745
Phone (865) 539-2873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130813000594 TN Part B Supplier - Clinic/Group Practice 8628210127 Receives reassigned benefits from 7 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

9203 Middlebrook Pike
Knoxville, TN 37931

9220 Dutchtown Rd
Ste 104
Knoxville, TN 37923
Phone (865) 539-2873

9221 Middlebrook Pike
Knoxville, TN 37931
Phone (865) 219-1989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19304/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1700225133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 DUTCHTOWN RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232745",
            "telephone_number": "865-539-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 DUTCHTOWN RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232745",
            "telephone_number": "865-530-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-530-2873",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.