Individual provider Active NPI

Connie M Hamilton, APN

  • Primary Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1720137243
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN0000008350 Issued in TN
Practice address
220 Fort Sanders West Blvd Ste 301
Knoxville, TN 37922-3398
Phone
(865) 690-3003
Fax
(865) 374-2143
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN0000008350 TN Primary

Addresses

Primary practice location

220 Fort Sanders West Blvd Ste 301
Knoxville, TN 37922-3398

Mailing address

9330 Park West Blvd Ste 402
Knoxville, TN 37923-4312
Phone (865) 690-3003

Other identifiers 1

IdentifierTypeStateIssuer
Q013162MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hamilton.connie@covenanthealth.cernerdirect.com

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
I20050425001105 TN Practitioner - Nurse Practitioner 1658310172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

9330 Park W Blvd
Suite 402
Knoxville, TN 37923-4312
Phone (865) 890-3003

Hospital & facility affiliations

  • Covenant Homecare Home health agency, Knoxville, TN, CCN 447139
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8350TNMDGeneral Practice Dentistry
APN0000008350TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Community Health Services, Inc CurrentSince Jan 1, 2017 Accepting new patients
Cole Family Practice CurrentSince Jun 4, 2018 Accepting new patients
Inner Vision Womens Ultrasound PLC PastSince Jun 4, 2018 Accepting new patients

Locations

226 Jackson Meadows Dr
Hermitage, TN 37076
Phone (615) 874-3422

2637 Murfreesboro Pike
Nashville, TN 37217
Phone (615) 292-9770

601 Benton Ave
Nashville, TN 37204
Phone (615) 292-9770

Interoperability endpoints

  • Direct secure messaging: hamilton.connie@covenanthealth.cernerdirect.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1720137243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234312",
            "telephone_number": "865-690-3003",
            "fax_number": "865-374-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORT SANDERS WEST BLVD STE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223398",
            "telephone_number": "865-690-3003",
            "fax_number": "865-374-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CONNIE",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000008350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013162",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hamilton.connie@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9330 Park West Blvd Ste 402",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.