Active NPI
Teresa Malone, FNP
- Family Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23112
- Practice address
- 1819 W Clinch Ave Ste 214
Knoxville, TN 37916-2435 - Phone
- (865) 331-2835
- Fax
- (865) 331-1003
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 23112 | TN | |
| Family Nurse Practitioner | 363LF0000X | 23112 | TN | Primary |
Addresses
Primary practice location
1819 W Clinch Ave Ste 214
Knoxville, TN 37916-2435
Mailing address
1819 W Clinch Ave Ste 214
Knoxville, TN 37916-2435
Phone (865) 331-2835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q031113 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2696
Phone (423) 259-5002
291 S Daisy St
Morristown, TN 37813-2362
Phone (423) 616-8315
402 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 919-8244
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23112 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Neurological Surgery | Current | Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033
1819 Clinch Ave
Ste 214
Knoxville, TN 37916
Phone (865) 331-2835
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165
402 S Broad St
New Tazewell, TN 37825
Phone (423) 919-8244
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Family Medicine Physician
- New Tazewell, TN
- NPI 1225141492
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Neurological Surgery
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982122438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE STE 214",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162435",
"telephone_number": "865-331-2835",
"fax_number": "865-331-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE STE 214",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162435",
"telephone_number": "865-331-2835",
"fax_number": "865-331-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "TERESA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "23112",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "23112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q031113",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.