Individual provider Active NPI

Quynh Vu Wisniewski, MD

  • Pediatrics Physician
  • Powell, TN
National Provider Identifier
1760585335
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29093 Issued in TN
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3497395MedicaidTN

Other names 1

  • Quynh Bich Vu Former name

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

LicenseStateTypeSpecialty
29093TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Children's Primary Care Center, Inc. Pediatrics PastSince Sep 1, 2021 Accepting new patients
Tots & Teens Pediatrics,PLLC Pediatrics PastSince Sep 3, 2025 Accepting new patients
East Tennessee Children's Primary Care Center, Inc. Pediatrics PastSince Sep 1, 2021 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.

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.

Verify at the official NPI Registry.