Individual provider Active NPI

Regina Overton-Barnes, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1912979485
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN7412 Issued in TN
Practice address
2240 Sutherland Ave
Suite 103
Knoxville, TN 37919
Phone
(865) 588-8831
Fax
(865) 588-8841
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 110607 TN
Family Nurse Practitioner 363LF0000X APN7412 TN Primary

Addresses

Primary practice location

2240 Sutherland Ave
Suite 103
Knoxville, TN 37919

Mailing address

PO Box 94670
Oklahoma City, OK 73143-4670
Phone (405) 682-3303

Other practice location 1

10904 Kingston Pike Ste 103
Knoxville, TN 37934-2953
Phone (865) 588-8831

Other practice location 2

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Other practice location 3

988 Oak Ridge Tpke Ste L20
Oak Ridge, TN 37830-6944
Phone (865) 444-4321

Other practice location 4

2333 Knob Creek Rd Ste 15
Johnson City, TN 37604-2007
Phone (865) 588-8831

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
I20050419001137 TN Practitioner - Nurse Practitioner 3779521927 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110607TNMDRegistered Nurse
7412TNMDPhysical Therapy Assistant
APN7412TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Jul 3, 2010 Accepting new patients
Statcare Inpatient LLC CurrentSince Jul 1, 2017 Accepting new patients
Statcare Outpatient, LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

2333 Knob Creek Rd
Ste 15
Johnson City, TN 37604

1120 E Weisgarber Rd
Ste 201
Knoxville, TN 37909
Phone 8655844747219

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

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

10904 Kingston Pike
Ste 103
Knoxville, TN 37934

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

988 Oak Ridge Tpke
Ste L20
Oak Ridge, TN 37830
Phone (865) 444-4321

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1912979485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94670",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731434670",
            "telephone_number": "405-682-3303",
            "fax_number": "405-384-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SUTHERLAND AVE",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-588-8831",
            "fax_number": "865-588-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10904 Kingston Pike Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342953",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste L20",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306944",
            "country_code": "US",
            "telephone_number": "865-444-4321",
            "fax_number": "865-338-5588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Knob Creek Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042007",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERTON-BARNES",
        "first_name": "REGINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "110607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.