Active NPI
Samantha R Petty, APN, RN
- Reproductive Endocrinology/Infertility Registered Nurse
- Knoxville, TN
National Provider Identifier
1801950399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology/Infertility Registered Nurse
- Practice address
- 11808 Kingston Pike
Suite 100
Knoxville, TN 37934-3838 - Phone
- (423) 899-0500
- Fax
- (423) 899-2411
- NPI assigned
- Dec 20, 2006
- Last updated
- Sep 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000005270 | TN | |
| Registered Nurse | 163W00000X | RN0000039380 | TN | |
| Reproductive Endocrinology/Infertility Registered Nurse | 163WR1000X | TN | Primary |
Addresses
Primary practice location
11808 Kingston Pike
Suite 100
Knoxville, TN 37934-3838
Mailing address
PO Box 21867
Chattanooga, TN 37424-0867
Phone (423) 899-0500
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000039380 | TN | MD | Registered Nurse |
| PET1-0429-0984 | TN | MD | Reproductive Endocrinology/Infertility Registered Nurse |
| APN0000005270 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fertility Center, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Fertility Center
- Reproductive Endocrinology Physician
- Chattanooga, TN
- NPI 1164541579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1801950399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21867",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374240867",
"telephone_number": "423-899-0500",
"fax_number": "423-899-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 KINGSTON PIKE",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379343838",
"telephone_number": "423-899-0500",
"fax_number": "423-899-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "SAMANTHA",
"middle_name": "R",
"credential": "APN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000005270",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000039380",
"primary": false
},
{
"code": "163WR1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 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.