Alice Marie Yutzy, FNP (DNP)

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000015706 Issued in TN

Practice address

1404 Tusculum Blvd
Suite 2200
Greeneville, TN 37745-4395

Phone

(423) 798-8052

Fax

(423) 798-8055

NPI assigned

May 31, 2011

Last updated

May 18, 2023By the provider in NPPES

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

Other names 1

• Ms. Alice Marie Pinyan Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr Mandeep Bakshi Pulmonary & Sleep Medicine

  • Pulmonary Disease Physician
  • Greeneville, TN
  • NPI 1730836016
  Medicare reassignment NPD

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1730473422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E. CHURCH STREET",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377456219",
            "telephone_number": "423-798-8052",
            "fax_number": "423-798-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 TUSCULUM BLVD",
            "address_2": "SUITE 2200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454395",
            "telephone_number": "423-798-8052",
            "fax_number": "423-798-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUTZY",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP (DNP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "PINYAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "FNP (DNP)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wulfram Cross Enterprises LLC
• Dell E Wykle, BS
• Haleigh Wykle, RN
• Emily Treasure Yates, APRN
• Andrea Leigh Young, COTA

• Family Nurse Practitioner in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.