Individual provider Active NPI

Pamela Rhiel, CNP

  • Gerontology Nurse Practitioner
  • Pigeon Forge, TN
National Provider Identifier
1811361603
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
35328 Issued in TN
Practice address
415 Cole Dr
Pigeon Forge, TN 37863-3775
Phone
(865) 428-5454
Fax
(763) 390-4035
NPI assigned
Nov 17, 2015
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP 4209 MN
Gerontology Nurse Practitioner 363LG0600X 35328 TN Primary

Addresses

Primary practice location

415 Cole Dr
Pigeon Forge, TN 37863-3775

Mailing address

3819 Brookview CT
Louisville, TN 37777-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160120000388 MN Practitioner - Nurse Practitioner 9638472095 Reassigns benefits to 1 organization
I20250107000151 TN Practitioner - Nurse Practitioner 9638472095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
35328TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultacare Medical PLLC CurrentSince Sep 25, 2024 Accepting new patients
Lifespark Medical Group, PA Gerontology CurrentSince Feb 28, 2022 Accepting new patients
Specialists in General Surgery, LTD PastSince Mar 1, 2016 Accepting new patients

Locations

7951 E Maplewood Ave
Ste 1118
Greenwood Village, CO 80111

5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1811361603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 BROOKVIEW CT",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377773161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COLE DR",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633775",
            "telephone_number": "865-428-5454",
            "fax_number": "763-390-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHIEL",
        "first_name": "PAMELA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP 4209",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "35328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pigeon Forge, TN

Sources for this page

Verify at the official NPI Registry.