Active NPI
Melissa Ann Guzman, CPNP-PC
- Pediatric Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN0000023704
- Practice address
- 10857 Hardin Valley Rd
Knoxville, TN 37932-1410 - Phone
- (865) 690-2682
- Fax
- (866) 529-5509
- NPI assigned
- Mar 9, 2018
- Last updated
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APN0000023704 | TN | Primary |
Addresses
Primary practice location
10857 Hardin Valley Rd
Knoxville, TN 37932-1410
Mailing address
11029 Eagle Creek LN
Knoxville, TN 37932-1472
Phone (865) 228-4733
Other practice location 1
1400 Dutch Valley Dr
Knoxville, TN 37918-1424
Phone (865) 689-1122
Other practice location 2
130 Independence Ln
LA Follette, TN 37766-3073
Phone (423) 562-1705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045208 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000023704 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Children's Primary Care Center, Inc. | Pediatrics | Current | Accepting new patients |
| Mountain View Pediatrics | Past | Accepting new patients | |
| North Hall Pediatrics PC | Past | Accepting new patients |
Locations
10857 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 690-2682
1400 Dutch Valley Dr
Knoxville, TN 37918
Phone (865) 689-1122
Interoperability endpoints
- melissa.guzman.p1@direct.chetn.nextgenshare.com
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.
-
dba Dolly Parton Children's Hospital Hardin Valley Pediatrics
- Pediatrics Physician
- Knoxville, TN
- NPI 1235640467
-
- Pediatrics Physician
- Gainesville, GA
- NPI 1073898912
-
dba Mountainview Pediatrics
- Pediatrics Physician
- Gainesville, GA
- NPI 1306328869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1720581390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11029 EAGLE CREEK LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321472",
"telephone_number": "865-228-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10857 HARDIN VALLEY RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321410",
"telephone_number": "865-690-2682",
"fax_number": "866-529-5509"
}
],
"practiceLocations": [
{
"address_1": "1400 Dutch Valley Dr",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379181424",
"country_code": "US",
"telephone_number": "865-689-1122",
"fax_number": "866-340-3781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Independence Ln",
"address_purpose": "LOCATION",
"city": "LA Follette",
"state": "TN",
"postal_code": "377663073",
"country_code": "US",
"telephone_number": "423-562-1705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN0000023704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q045208",
"state": "TN"
}
],
"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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.