Active NPI
Diane S Weis, FNP
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F02200330
- Practice address
- 265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052 - Phone
- (865) 693-1000
- Fax
- (865) 539-8052
- NPI assigned
- Mar 19, 2020
- Last updated
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F02200330 | TN | Primary |
Addresses
Primary practice location
265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Mailing address
1601 Par CT
Johnson City, TN 37601-2666
Phone (423) 833-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F02200330 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Pac Services PC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669
2511 Wesley St
Johnson City, TN 37601
Phone (423) 431-1700
113 Cassell Dr
Kingsport, TN 37660
Phone (423) 246-7240
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590
103 North St
Bristol, VA 24201
Phone (276) 642-7901
1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Oak Ridge, TN
- NPI 1083835441
-
- Hospitalist Physician
- Abingdon, VA
- NPI 1073042800
-
- Internal Medicine Physician
- Bristol, TN
- NPI 1104277656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1740816933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PAR CT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012666",
"telephone_number": "423-833-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BROOKVIEW CENTRE WAY STE 400",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194052",
"telephone_number": "865-693-1000",
"fax_number": "865-539-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIS",
"first_name": "DIANE",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "F02200330",
"primary": true
}
],
"identifiers": [],
"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 Apr 15, 2022; 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.