Individual provider Active NPI

Rebecca Goldston Nicholson, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1871053736
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN24829 Issued in TN
Practice address
9320 Park West Blvd
Knoxville, TN 37923-4301
Phone
(865) 373-7100
Fax
(865) 374-2029
NPI assigned
Mar 25, 2019
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN89734 TN
Family Nurse Practitioner 363LF0000X APN24829 TN Primary

Addresses

Primary practice location

9320 Park West Blvd
Knoxville, TN 37923-4301

Mailing address

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone (800) 355-3565

Other practice location 1

255 E Watt St
Alcoa, TN 37701-2236
Phone (865) 273-1616

Other names 1

  • Rebecca Lynn Goldston Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholson.rebecca@covenanthealth.cernerdirect.com

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
I20190620003373 TN Practitioner - Nurse Practitioner 7214261486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Sevierville, TN 37862-3051

11606 Chapman Hwy
Suite 2 and 3
Knoxville, TN 37931-3162
Phone (865) 609-6980

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1928 Alcoa Hwy
Suite B100
Knoxville, TN 37920-1506
Phone (865) 305-6333

1928 Alcoa Hwy 102
Knoxville, TN 37920-1506
Phone (865) 305-6640

1928 Alcoa Hwy S 102
Knoxville, TN 37920-1506
Phone (865) 544-6740

1940 Alcoa Hwy
Suite E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

2531 Willow Point Way
Suite 104
Knoxville, TN 37931-3162
Phone (865) 544-2800

2681 Andersonville Hwy
Suite 102
Clinton, TN 37716-6706
Phone (865) 494-5960

304 Church St
Sweetwater, TN 37874-2823
Phone (865) 544-2800

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
RN89734TNMDRegistered Nurse
APN24829TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Apr 10, 2019 Accepting new patients
University Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Covenant Medical Group, Inc. CurrentSince May 1, 2020 Accepting new patients
Cherokee Health Systems CurrentSince Apr 10, 2019 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc Family CurrentSince Oct 1, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince May 1, 2020 Accepting new patients
University Health System, Inc Family Past Accepting new patients

Locations

255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 544-6570

1940 Alcoa Hwy
Ste 310
Knoxville, TN 37920
Phone (865) 305-9873

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

9320 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-7100

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

6350 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 586-5031

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: nicholson.rebecca@covenanthealth.cernerdirect.com

Organizations & group practices 8

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.

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1871053736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 PARK WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234301",
            "telephone_number": "865-373-7100",
            "fax_number": "865-374-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Watt St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012236",
            "country_code": "US",
            "telephone_number": "865-273-1616",
            "fax_number": "865-273-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "REBECCA",
        "middle_name": "GOLDSTON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN89734",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN24829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholson.rebecca@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "9320 Park West Blvd",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379234301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GOLDSTON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.