Individual provider Active NPI

Elizabeth Wright Thurman, WHNP-BC

  • Women's Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1982206744
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
28641 Issued in TN
Practice address
9430 Park West Blvd Ste 320G
Knoxville, TN 37923-4200
Phone
(865) 769-4412
Fax
(865) 769-4413
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 28641 TN Primary

Addresses

Primary practice location

9430 Park West Blvd Ste 320G
Knoxville, TN 37923-4200

Mailing address

9430 Park West Blvd Ste 320
Knoxville, TN 37923-4209
Phone (865) 769-4412

Other names 1

  • Ms. Elizabeth Wright Sumner Former name

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
I20210217000265 TN Practitioner - Nurse Practitioner 0749695112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations OBGYN,P.C.Group PAC ID 3577542042, 9 clinicians

Practice addresses (Care Compare)

9430 Park W Blvd
Suite 320
Knoxville, TN 37923-4209
Phone (865) 769-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28641TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations OBGYN,P.C. CurrentSince Feb 1, 2021 Accepting new patients

Locations

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

9430 Park West Blvd
Ste 320G
Knoxville, TN 37923
Phone (865) 769-4412

Interoperability endpoints

  • Direct secure messaging: elizabeth.thurman.1@29621.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/29621/brand/1/csg/1/fhir/r4

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": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1982206744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 320",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234209",
            "telephone_number": "865-769-4412",
            "fax_number": "865-769-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 320G",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234200",
            "telephone_number": "865-769-4412",
            "fax_number": "865-769-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ELIZABETH",
        "middle_name": "WRIGHT",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "28641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SUMNER",
            "middle_name": "WRIGHT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.