Individual provider Active NPI

Barbara Witherspoon, NP

  • Acute Care Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1922196906
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
6138 Issued in TN
Practice address
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Phone
(865) 546-8040
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6138 TN Primary

Addresses

Primary practice location

501 20TH St
Suite 606
Knoxville, TN 37916-1809

Mailing address

501 20TH St
Suite 606
Knoxville, TN 37916-1809
Phone (865) 546-8040

Other identifiers 3

IdentifierTypeStateIssuer
3640735MedicaidTN
P00231154OtherTNTRAVELERS MEDICARE
100048745OtherTNPHP TENNCARE

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
I20050629000264 TN Practitioner - Nurse Practitioner 1951347046 Reassigns benefits to 1 organization
Practice locations: Sevierville, TN; Knoxville, TN; Newport, TN; Maryville, TN; Louisville, TN; Kingston, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

375 Hedrick Dr
Newport, TN 37821-2920
Phone (865) 246-2104

6801 Middlebrook Pike
Knoxville, TN 37909-1152
Phone (865) 246-2104

700 Markhill Dr
Sevierville, TN 37862-4023
Phone (865) 428-2445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6138TNMDClinical Social Worker
11250TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit View Health Services, LLC CurrentSince Jul 17, 2009 Accepting new patients
Senior Care Partners of East Tennessee, PLLC Current Accepting new patients
Community Wellness Partners, PLLC PastSince Nov 1, 2024 Accepting new patients
Housecall Primary Care, PLLC Past Accepting new patients

Locations

6801 Middlebrook Pike
Knoxville, TN 37909
Phone (865) 246-4104

10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444

1965 Stewart Ln
Louisville, TN 37777
Phone (865) 984-3146

1012 Jamestown Way
Maryville, TN 37803
Phone (865) 984-7400

375 Hedrick Dr
Newport, TN 37821
Phone (423) 613-4585

1020 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 774-2221

415 Catlett Rd
Sevierville, TN 37862
Phone (865) 453-4247

1102 Medical Park Ct
Sevierville, TN 37862
Phone (513) 662-5880

Organizations & group practices 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1922196906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "SUITE 606",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161809",
            "telephone_number": "865-546-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "SUITE 606",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161809",
            "telephone_number": "865-546-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "BARBARA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "6138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3640735",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00231154",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100048745",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.