Individual provider Active NPI

Amy Sexton Harrell, MSN, FNP-BC

  • Family Nurse Practitioner
  • Corryton, TN
National Provider Identifier
1962827428
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18444 Issued in TN
Practice address
7331 Tazewell Pike
Corryton, TN 37721-3516
Phone
(865) 249-8044
Fax
(865) 985-0756
NPI assigned
Feb 20, 2014
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18444 TN Primary

Addresses

Primary practice location

7331 Tazewell Pike
Corryton, TN 37721-3516

Mailing address

7331 Tazewell Pike
Corryton, TN 37721-3516
Phone (865) 249-8044

Other identifiers 1

IdentifierTypeStateIssuer
Q011186MedicaidTN

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
I20140422000759 TN Practitioner - Nurse Practitioner 6002048220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Gibbs Family Practice, LLCGroup PAC ID 0446555122, 2 clinicians

Practice addresses (Care Compare)

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

7331 Tazewell Pike
Corryton, TN 37721-3516
Phone (865) 249-8044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18444TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gibbs Family Practice, LLC Family CurrentSince Oct 1, 2021 Accepting new patients
Family Medical Care Center, LLC Family PastSince Oct 1, 2021 Accepting new patients

Locations

7331 Tazewell Pike
Corryton, TN 37721
Phone (865) 249-8044

Interoperability endpoints

  • Direct secure messaging: amy.harrell.1@12578.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12578/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1962827428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213516",
            "telephone_number": "865-249-8044",
            "fax_number": "865-985-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 TAZEWELL PIKE",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213516",
            "telephone_number": "865-249-8044",
            "fax_number": "865-985-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "AMY",
        "middle_name": "SEXTON",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2023-05-22",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011186",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corryton, TN

Sources for this page

Verify at the official NPI Registry.