Individual provider Active NPI

Gail Clift, RN, PNP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1770548000
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000005174 Issued in TN
Practice address
6305 Lonas Dr Ste 101
Knoxville, TN 37909-2732
Phone
(865) 588-3173
Fax
(865) 637-4362
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN35121 TN
Pediatric Nurse Practitioner 363LP0200X APN0000005174 TN Primary

Addresses

Primary practice location

6305 Lonas Dr Ste 101
Knoxville, TN 37909-2732

Mailing address

6305 Lonas Dr Ste 101
Knoxville, TN 37909-2732
Phone (865) 588-3173

Other identifiers 1

IdentifierTypeStateIssuer
3496718MedicaidTN

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN0000005174TNMDPediatric Nurse Practitioner
RN35121TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1770548000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 LONAS DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092732",
            "telephone_number": "865-588-3173",
            "fax_number": "865-637-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 LONAS DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092732",
            "telephone_number": "865-588-3173",
            "fax_number": "865-637-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFT",
        "first_name": "GAIL",
        "credential": "RN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "RN35121",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000005174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3496718",
            "state": "TN"
        }
    ],
    "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 Jun 6, 2016; 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.