Individual provider Active NPI

Elizabeth Marie Carpenter, FNP

  • Family Nurse Practitioner
  • Jacksboro, TN
National Provider Identifier
1710791124
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37272 Issued in TN
Practice address
2702 Jacksboro Pike
Jacksboro, TN 37757-4850
Phone
(423) 374-7775
NPI assigned
Feb 5, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 37272 TN Primary

Addresses

Primary practice location

2702 Jacksboro Pike
Jacksboro, TN 37757-4850

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

7523 Maynardville Pike
Knoxville, TN 37938-3722
Phone (865) 630-4302

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
I20250224003085 TN Practitioner - Nurse Practitioner 1254851058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic LLCGroup PAC ID 1951721802, 30 clinicians
Knoxville Medical Group LLCGroup PAC ID 0749537389, 2 clinicians

Practice addresses (Care Compare)

120 Tanner Lane
Clinton, TN 37716-6882
Phone (865) 855-3500

7523 Maynardville Pike
Knoxville, TN 37938-3722
Phone (865) 630-4302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Medical LLC CurrentSince Oct 20, 2025 Accepting new patients
Access Medical Clinic LLC CurrentSince Dec 1, 2025 Accepting new patients
Access Medical Clinic LLC CurrentSince Dec 1, 2025 Accepting new patients
Knoxville Medical Group, LLC Family CurrentSince Feb 10, 2025 Accepting new patients
Access Medical Clinic LLC Past Accepting new patients
Access Medical Clinic LLC Past Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

120 Tanner Pl
Clinton, TN 37716
Phone (865) 264-4012

150 Tanner Ln
Clinton, TN 37716
Phone (865) 457-4121

204 Glades Rd
Gatlinburg, TN 37738
Phone (865) 436-2811

2702 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 201-9937

7523 Maynardville Pike
Knoxville, TN 37938
Phone (865) 630-4302

Organizations & group practices 6

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1710791124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574850",
            "telephone_number": "423-374-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7523 Maynardville Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379383722",
            "country_code": "US",
            "telephone_number": "865-630-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksboro, TN

Sources for this page

Verify at the official NPI Registry.