Active NPI
Quynh Vu Wisniewski, MD
- Pediatrics Physician
- Powell, TN
National Provider Identifier
1760585335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29093
- Practice address
- 7557 A Dannaher Dr
Suite 130
Powell, TN 37849 - Phone
- (865) 689-1122
- Fax
- (866) 340-3781
- NPI assigned
- Sep 7, 2006
- Last updated
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29093 | TN | Primary |
Addresses
Primary practice location
7557 A Dannaher Dr
Suite 130
Powell, TN 37849
Mailing address
7557 Dannaher Dr Ste 130
Powell, TN 37849-1509
Phone (865) 512-1180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3497395 | Medicaid | TN |
Other names 1
- Quynh Bich Vu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29093 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Children's Primary Care Center, Inc. | Pediatrics | Past | Accepting new patients |
| Tots & Teens Pediatrics,PLLC | Pediatrics | Past | Accepting new patients |
| East Tennessee Children's Primary Care Center, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Dolly Parton Children's Hospital Hardin Valley Pediatrics
- Pediatrics Physician
- Knoxville, TN
- NPI 1235640467
-
dba Boys & Girls Pediatrics
- Pediatrics Physician
- Knoxville, TN
- NPI 1548466220
-
- Pediatrics Physician
- Powell, TN
- NPI 1396767885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1760585335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7557 DANNAHER DR STE 130",
"city": "POWELL",
"state": "TN",
"postal_code": "378491509",
"telephone_number": "865-512-1180",
"fax_number": "865-512-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7557 A DANNAHER DR",
"address_2": "SUITE 130",
"city": "POWELL",
"state": "TN",
"postal_code": "37849",
"telephone_number": "865-689-1122",
"fax_number": "866-340-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "QUYNH",
"middle_name": "VU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2025-08-27",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "29093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3497395",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "QUYNH",
"last_name": "VU",
"middle_name": "BICH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.