Individual provider Active NPI

Stephanie Burgett, NP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1942210463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000012170 Issued in TN
Practice address
939 Emerald Ave
Suite 610
Knoxville, TN 37917-4502
Phone
(865) 637-8635
Fax
(865) 637-4821
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 APN0000012170 TN Primary

Addresses

Primary practice location

939 Emerald Ave
Suite 610
Knoxville, TN 37917-4502

Mailing address

939 Emerald Ave
Suite 610
Knoxville, TN 37917-4502
Phone (865) 637-8635

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
I20061016000235 TN Practitioner - Nurse Practitioner 9133125149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Knoxville PCGroup PAC ID 9931172426, 8 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C460
Knoxville, TN 37920-1587
Phone (865) 546-9246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000012170TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Knoxville, PC CurrentSince Jun 18, 2007 Accepting new patients

Locations

1932 Alcoa Hwy
Ste 460
Knoxville, TN 37920
Phone (865) 546-9246

1932 Alcoa Hwy
Ste C460
Knoxville, TN 37920
Phone (865) 546-9246

Interoperability endpoints

  • Direct secure messaging: stephanie.burgett.1@15679.direct.athenahealth.com

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942210463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 610",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-637-8635",
            "fax_number": "865-637-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 EMERALD AVE",
            "address_2": "SUITE 610",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174502",
            "telephone_number": "865-637-8635",
            "fax_number": "865-637-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000012170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.