Individual provider Active NPI

Jacqueline S Zgiet, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1730461666
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16115 Issued in TN
Practice address
10904 Kingston Pike Ste 101
Knoxville, TN 37934-2952
Phone
(469) 991-7647
Fax
(682) 503-7500
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 16115 TN Primary

Addresses

Primary practice location

10904 Kingston Pike Ste 101
Knoxville, TN 37934-2952

Mailing address

16 Village LN Ste 200
Colleyville, TX 76034-2948
Phone (682) 900-6631

Other practice location 1

120 Hospital Dr
suite 130
Jefferson City, TN 37760-5287
Phone (865) 475-4742

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
I20111013000232 TN Practitioner - Nurse Practitioner 7012189772 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16115TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Physicians LLC Current Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Dec 5, 2023 Accepting new patients
East Tennessee Neuropathy, PC Nurse Practitioner PastSince Apr 1, 2013 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Sr Medical Services, LLC Past Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1730461666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342948",
            "telephone_number": "682-900-6631",
            "fax_number": "682-503-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 KINGSTON PIKE STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342952",
            "telephone_number": "469-991-7647",
            "fax_number": "682-503-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Hospital Dr",
            "address_2": "suite 130",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377605287",
            "country_code": "US",
            "telephone_number": "865-475-4742",
            "fax_number": "865-262-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZGIET",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "16115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.