Individual provider Active NPI

Rebecca E Dade, FNP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1891110805
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17765 Issued in TN
Practice address
1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909
Phone
(865) 637-8812
Fax
(865) 637-8865
NPI assigned
Feb 27, 2014
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 17765 TN Primary

Addresses

Primary practice location

1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909

Mailing address

1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909
Phone (865) 637-8812

Other identifiers 1

IdentifierTypeStateIssuer
Q022207MedicaidTN

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
I20151117002073 TN Practitioner - Nurse Practitioner 4183944259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrinology Consultants of East TNGroup PAC ID 1951371525, 36 clinicians

Practice addresses (Care Compare)

1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2444
Phone (865) 637-8812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17765TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Consultants of East TN CurrentSince Aug 3, 2015 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner Past Accepting new patients

Locations

1450 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 470-9820

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, 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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1891110805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-637-8812",
            "fax_number": "865-637-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-637-8812",
            "fax_number": "865-637-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADE",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022207",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.