Active NPI
Kelly Motter, NP
- Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 34480
- Practice address
- 9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205 - Phone
- (865) 690-4861
- Fax
- (865) 560-8525
- NPI assigned
- Nov 30, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 34480 | TN | Primary |
Addresses
Primary practice location
9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1819 Clinch Ave
Knoxville, TN 37916-2435
8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600
961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients |
Locations
9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353
4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 401-9062
Interoperability endpoints
- kelly.motter.p2@direct.toa.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1538153937
-
- Multi-Specialty Clinic/Center
- Clarksville, TN
- NPI 1336905561
-
- Orthopaedic Surgery Physician
- Smyrna, TN
- NPI 1205820610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1992571996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306556",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306556",
"telephone_number": "865-694-0062",
"fax_number": "865-694-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD STE 130",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234205",
"telephone_number": "865-690-4861",
"fax_number": "865-560-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTER",
"first_name": "KELLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "34480",
"primary": true
}
],
"identifiers": [],
"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 Nov 30, 2023; 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.