Carlena Leilani Dancer

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7305 Cresthill Dr Apt A3
Knoxville, TN 37919-5914

Phone

(903) 539-9191

NPI assigned

Dec 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1982412912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 CRESTHILL DR APT A3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 CRESTHILL DR APT A3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195914",
            "telephone_number": "903-539-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCER",
        "first_name": "CARLENA",
        "middle_name": "LEILANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Matthias Dampf
• Tabitha B Damron, LCSW
• Dan Smugor DPM
• Asheton Elizabeth Dance
• Regina Ann Dance, APRN
• John R Dandelski, D.C.
• Grace Elizabeth Danehy, PMHNP-BC
• Xuan Quyen Vu Dang, DMPNA
• Madeline Kaye Dangerfield, FNP
• Daniel & Max LLC

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.