Individual provider Active NPI

Caitlin Hunt Greenwood, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1710231964
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17172 Issued in TN
Practice address
1111 N Northshore Dr Ste S490
Knoxville, TN 37919-2808
Phone
(865) 584-0171
NPI assigned
Nov 8, 2012
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17172 TN Primary

Addresses

Primary practice location

1111 N Northshore Dr Ste S490
Knoxville, TN 37919-2808

Mailing address

1316 Tobler Rd
Knoxville, TN 37919-8104
Phone (615) 934-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130102000468 TN Practitioner - Nurse Practitioner 1557514346 Reassigns benefits to 1 organization
Practice locations: Maryville, TN; Rogersville, TN; Sneedville, TN; Tazewell, TN
I20220411002037 TN Practitioner - Nurse Practitioner 1557514346 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Northshore Group IncGroup PAC ID 7012374929, 16 clinicians

Practice addresses (Care Compare)

1111 N Northshore Dr
Suite S490
Knoxville, TN 37919-2808
Phone (865) 584-0171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17172TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Northshore Group, Inc. Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Esd Psychological Services Past Accepting new patients
Wayne E. Tasker and Associates, Inc. Past Accepting new patients

Locations

1111 N Northshore Dr
Ste S490
Knoxville, TN 37919
Phone (865) 584-0171

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1710231964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 TOBLER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198104",
            "telephone_number": "615-934-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N NORTHSHORE DR STE S490",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192808",
            "telephone_number": "865-584-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "CAITLIN",
        "middle_name": "HUNT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "17172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.