Maci Nicole O'Connor, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2047 Issued in TN

Practice address

1926 Alcoa Hwy BLDG F
Ste 380
Knoxville, TN 37920-1524

Phone

(865) 544-9171

Fax

(865) 305-6886

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1730465741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 ALCOA HWY BLDG F",
            "address_2": "STE 380",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201524",
            "telephone_number": "865-544-9171",
            "fax_number": "865-305-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 ALCOA HWY BLDG F",
            "address_2": "STE 380",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201524",
            "telephone_number": "865-544-9171",
            "fax_number": "865-305-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MACI",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah O'Bryant, MSW
• Michael J O'Connell, PHD
• Ann O'Connor, SLP
• Charles O'Connor Jr., MD
• Kristin Ariana O'Connor
• P. Ann O'Connor X, PH.D.
• Robert Austin O'Connor, MD
• Tara Rose O'Connor, M.S./CF-SLP
• Kathryn O'Dell, MPT
• Skyler Shanelle O'Dell, LMT

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.