Individual provider Active NPI

Amanda Leigh Scogin, NNP

  • Neonatal Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1891033395
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
17775 Issued in TN
Practice address
1930 Alcoa Hwy Ste 145
Knoxville, TN 37920
Phone
(865) 582-3123
Fax
(865) 305-5857
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 17775 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy Ste 145
Knoxville, TN 37920

Mailing address

1930 Alcoa Hwy Ste 145
Knoxville, TN 37920-1546
Phone (865) 582-3123

Other practice location 1

1930 Alcoa Hwy Ste 145
Knoxville, TN 37920
Phone (865) 582-3123

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
I20241009001101 TN Practitioner - Nurse Practitioner 4284870502 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Sep 9, 2024 Accepting new patients
Erlanger Health CurrentSince Sep 9, 2024 Accepting new patients

Locations

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: ascogin872794@direct.ghs.myhfn.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1891033395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201546",
            "telephone_number": "865-582-3123",
            "fax_number": "865-305-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-582-3123",
            "fax_number": "865-305-5857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Hwy Ste 145",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37920",
            "country_code": "US",
            "telephone_number": "865-582-3123",
            "fax_number": "865-305-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOGIN",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TN",
            "license": "17775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.