Individual provider Active NPI

Amy D Davis, APN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1841261393
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006437 Issued in TN
Practice address
501 19TH St Ste 304
Knoxville, TN 37916-1839
Phone
(865) 522-2229
Fax
(865) 546-8355
NPI assigned
Jan 31, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006437 TN Primary

Addresses

Primary practice location

501 19TH St Ste 304
Knoxville, TN 37916-1839

Mailing address

817 E Oldham Ave
Knoxville, TN 37917-5568
Phone (865) 522-2229

Other practice location 1

817 E Oldham Ave
Knoxville, TN 37917-5568
Phone (865) 522-2229

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
I20090107000151 TN Practitioner - Nurse Practitioner 6103989827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
George W. Vick II M.D. P.C.Group PAC ID 4486745312, 2 clinicians

Practice addresses (Care Compare)

501 19TH St
Suite 304
Knoxville, TN 37916-1839
Phone (865) 522-2229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6437TNMDPhysician Assistant
APN0000006437TNMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: amynp@gwvimp-tn.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1841261393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E OLDHAM AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175568",
            "telephone_number": "865-522-2229",
            "fax_number": "865-546-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161839",
            "telephone_number": "865-522-2229",
            "fax_number": "865-546-8355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 E Oldham Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175568",
            "country_code": "US",
            "telephone_number": "865-522-2229",
            "fax_number": "865-546-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.