NPIMap

Individual provider Active NPI

Pamela I. Pullin, APRN

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1912940537
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7002 Issued in TN
Practice address
1915 White Ave
Knoxville, TN 37916-2300
Phone
(865) 541-1720
Fax
(865) 541-1747
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 7002 TN Primary

Addresses

Primary practice location

1915 White Ave
Knoxville, TN 37916-2300

Mailing address

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-1720

Other identifiers 2

IdentifierTypeStateIssuer
1511128MedicaidTN
39032701MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pullen.pamela@covenanthlth.cernerdirect.com

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
I20040512001325 TN Practitioner - Nurse Practitioner 8729078878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant HomecareGroup PAC ID 0749282010, 16 clinicians

Practice addresses (Care Compare)

3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-3761
Phone (865) 374-0600

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7002TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Oncology Group CurrentSince Apr 16, 2016 Accepting new patients
Covenant Homecare CurrentSince Apr 1, 2021 Accepting new patients
Covenant Homecare CurrentSince Apr 1, 2021 Accepting new patients
Greenhurst PC Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Past Accepting new patients
Pain Consultants of East Tennessee, PLLC PastSince Aug 24, 1998 Accepting new patients
Covenant Homecare Past Accepting new patients
Regional Trauma Surgeons Past Accepting new patients
Behavioral Medicine Institute PC PastSince Sep 23, 2012 Accepting new patients

Locations

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

Dept 888078
Knoxville, TN 37995

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Knoxville, TN 37995

Organizations & group practices 10

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.

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1912940537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-1720",
            "fax_number": "865-541-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-1720",
            "fax_number": "865-541-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIN",
        "first_name": "PAMELA",
        "middle_name": "I.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "7002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511128",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39032701",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pullen.pamela@covenanthlth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1915 White Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.