Individual provider Active NPI

Diane S Weis, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1740816933
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02200330 Issued in TN
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200423000730 TN Practitioner - Nurse Practitioner 3476983008 Reassigns benefits to 3 organizations
I20240823004035 VA Practitioner - Nurse Practitioner 3476983008 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02200330TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pac Services PC CurrentSince Jun 3, 2024 Accepting new patients
Southeastern Physician Services PC CurrentSince Jul 20, 2024 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.

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

Verify at the official NPI Registry.