Individual provider Active NPI

Amy Wolz, CPHP

  • Pediatric Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1790816270
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000005744 Issued in TN
Practice address
145 E Vance Rd
Oak Ridge, TN 37830-6528
Phone
(865) 482-4088
Fax
(866) 674-2033
NPI assigned
Mar 8, 2007
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000005744 TN Primary

Addresses

Primary practice location

145 E Vance Rd
Oak Ridge, TN 37830-6528

Mailing address

PO Box 15004
Knoxville, TN 37901
Phone (865) 522-9730

Other practice location 1

10857 Hardin Valley Rd
Knoxville, TN 37932-1410
Phone (865) 690-2682

Other practice location 2

2221 Jacksboro Pike Ste C4
LA Follette, TN 37766-3007
Phone (423) 566-3488

Other practice location 3

2130 N. Charles Seivers Blvd.
Suite 4
Clinton, TN 37716-6705
Phone (865) 457-4044

Other practice location 4

7733 Oak Ridge Hwy
Knoxville, TN 37931-3343
Phone (865) 470-2560

Other identifiers 1

IdentifierTypeStateIssuer
3348208MedicaidTN

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

State licenses

LicenseStateTypeSpecialty
APN0000005744TNMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1790816270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37901",
            "telephone_number": "865-522-9730",
            "fax_number": "865-637-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E VANCE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306528",
            "telephone_number": "865-482-4088",
            "fax_number": "866-674-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10857 Hardin Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379321410",
            "country_code": "US",
            "telephone_number": "865-690-2682",
            "fax_number": "866-529-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Jacksboro Pike Ste C4",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377663007",
            "country_code": "US",
            "telephone_number": "423-566-3488",
            "fax_number": "866-722-3453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 N. Charles Seivers Blvd.",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "TN",
            "postal_code": "377166705",
            "country_code": "US",
            "telephone_number": "865-457-4044",
            "fax_number": "866-699-4833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7733 Oak Ridge Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379313343",
            "country_code": "US",
            "telephone_number": "865-470-2560",
            "fax_number": "866-469-4963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLZ",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "CPHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000005744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3348208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.