Individual provider Active NPI

Amy Nanette Buck, APRN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1881038461
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17590 Issued in TN
Practice address
1819 Clinch Ave Ste 110
Knoxville, TN 37916-2435
Phone
(865) 331-9075
Fax
(865) 374-2141
NPI assigned
Apr 25, 2013
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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 17590 TN Primary

Addresses

Primary practice location

1819 Clinch Ave Ste 110
Knoxville, TN 37916-2435

Mailing address

1819 Clinch Ave Ste 110
Knoxville, TN 37916-2435
Phone (865) 331-9075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address buck.amy.n@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
I20131017001728 TN Practitioner - Nurse Practitioner 6204060916 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Heart Group, Inc.Group PAC ID 4284761917, 20 clinicians

Practice addresses (Care Compare)

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17590TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Cardiovascular Surgery Group, P.C CurrentSince Feb 7, 2022 Accepting new patients
Knoxville Heart Group, Inc. CurrentSince Apr 1, 2015 Accepting new patients

Locations

1819 Clinch Ave
Ste 108
Knoxville, TN 37916
Phone (865) 541-4062

1819 Clinch Ave
Ste 110
Knoxville, TN 37916
Phone (865) 331-9075

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

9125 Cross Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 632-5900

9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942

Dept 888101
Knoxville, TN 37995

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

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.

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1881038461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-331-9075",
            "fax_number": "865-374-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-331-9075",
            "fax_number": "865-374-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "AMY",
        "middle_name": "NANETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "buck.amy.n@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1610 Tazewell Rd",
            "address_2": "Ste. 201",
            "city": "Tazewell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378793600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.