NPIMap

Individual provider Active NPI

Stephanie K Lezatte, PA-C

  • Physician Assistant
  • Powell, TN
National Provider Identifier
1902128812
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1809 Issued in TN
Practice address
7680 Dannaher Dr.
Powell, TN 37849-4052
Phone
(865) 521-8050
Fax
(865) 544-5816
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1809 TN
Physician Assistant 363A00000X PA1809 TN Primary

Addresses

Primary practice location

7680 Dannaher Dr.
Powell, TN 37849-4052

Mailing address

7121 Regal Lane
Suite 200a
Knoxville, TN 37918-5804
Phone (865) 521-8050

Other identifiers 1

IdentifierTypeStateIssuer
1518173MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000862 TN Practitioner - Physician Assistant 1355470832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Greater Knoxville Ear Nose and Throat Associates PCGroup PAC ID 0244126126, 19 clinicians

Practice addresses (Care Compare)

109 Sugarfoot Way
Suite 5
Pigeon Forge, TN 37863-6204
Phone (865) 365-4800

1932 Alcoa Hwy
Suite 160
Knoxville, TN 37920-1517
Phone 86552180500

220 Fort Sanders W Blvd
Suite 101
Knoxville, TN 37922-3373
Phone 86552180500

3614 W Andrew Johnson Hwy
Morristown, TN 37814-3602
Phone (423) 586-9495

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

7680 Dannaher Dr
Powell, TN 37849-4052
Phone (865) 521-8050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1809TNMDBehavioral Analyst
PA1809TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Physician Assistant CurrentSince Feb 1, 2015 Accepting new patients
University Health System Inc CurrentSince Feb 1, 2015 Accepting new patients

Locations

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

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

Interoperability endpoints

  • Direct secure messaging: slezatte@gkent.emadirect.md

Organizations & group practices 6

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 4

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": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1902128812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 REGAL LANE",
            "address_2": "SUITE 200A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185804",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 DANNAHER DR.",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494052",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZATTE",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1809",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518173",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.