Individual provider Active NPI

Courtney Diane Vance, APRN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1952908154
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28314 Issued in TN
Practice address
1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267
Phone
(655) 442-8008
Fax
(865) 544-2800
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28314 TN
Family Nurse Practitioner 363LF0000X 28314 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy Ste E310
Knoxville, TN 37920-2267

Mailing address

PO Box 415000-Msc8179
Nashville, TN 37241-8179
Phone (865) 670-6199

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
I20210420002901 TN Practitioner - Nurse Practitioner 9931517547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1940 Alcoa Hwy
Suite E310
Knoxville, TN 37920-2267
Phone (865) 544-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28314TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Nov 1, 2021 Accepting new patients
Knoxville Neurology Specialists, PLLC Past 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 310
Knoxville, TN 37920
Phone (865) 305-9873

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1940 Alcoa Hwy
Ste E310
Knoxville, TN 37920
Phone (865) 544-4280

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.

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1952908154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8179",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418179",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY STE E310",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202267",
            "telephone_number": "655-442-8008",
            "fax_number": "865-544-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "COURTNEY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.