Individual provider Active NPI

Thomas W. Hall, FNP-C

  • Family Nurse Practitioner
  • Sevierville, TN
National Provider Identifier
1821701301
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33112 Issued in TN
Practice address
1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone
(865) 255-7543
NPI assigned
Dec 29, 2022
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 33112 TN
Family Nurse Practitioner 363LF0000X 33112 TN Primary

Addresses

Primary practice location

1787 Veterans Blvd
Sevierville, TN 37862-6945

Mailing address

1787 Veterans Blvd
Sevierville, TN 37862-6945
Phone (865) 428-2773

Other practice location 1

1328 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 212-0530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230612000026 TN Practitioner - Nurse Practitioner 4981061603 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33112TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince May 3, 2023 Accepting new patients
Associated Wound Specialists PC Family CurrentSince Aug 26, 2023 Accepting new patients
Associated Wound Specialists PC Family CurrentSince Aug 26, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

1328 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 212-0530

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1821701301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-428-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-255-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 Papermill Pointe Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091903",
            "country_code": "US",
            "telephone_number": "865-212-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "THOMAS",
        "middle_name": "W.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-10-27",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "33112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.