Individual provider Active NPI

Ala'a Mitoubsi, DNP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1841915113
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32155 Issued in TN
Practice address
1926 Alcoa Hwy
Knoxville, TN 37920-1545
Phone
(865) 305-8780
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32155 TN Primary

Addresses

Primary practice location

1926 Alcoa Hwy
Knoxville, TN 37920-1545

Mailing address

904 High Springs Rd
Knoxville, TN 37932-3115
Phone (865) 368-6738

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
I20230106001819 TN Practitioner - Nurse Practitioner 1355711474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1926 Alcoa Hwy
Suite 410
Knoxville, TN 37920-1545
Phone (865) 305-6333

1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218

1926 Alcoa Hwy 410
Knoxville, TN 37920-1545
Phone (865) 544-9218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32155TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Dec 1, 2022 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Dec 1, 2022 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

1926 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-8780

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1841915113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 HIGH SPRINGS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323115",
            "telephone_number": "865-368-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201545",
            "telephone_number": "865-305-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITOUBSI",
        "first_name": "ALA'A",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.