Unknown Individual – Family Nurse Practitioner, NPI 1235406158

Unknown Individual is a healthcare provider. based in Knoxville, Tennessee. specializing in Family Nurse Practitioner. They hold a License No. APN0000016289 (TN). The NPI Number for Unknown Individual is 1235406158

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235406158
Phone
(865) 524-1869
Address
1932 ALCOA HWY STE 360
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
8655241869
Graduation Year
2011 (15 years ago)
PAC ID
0446425011
Group Practice PAC ID
6002888716
Professional Enrollment ID
I20131018001323
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1932 ALCOA HWY STE 360

    KNOXVILLE, TN 379201509

    Phone: (865) 524-1869

    Fax: (865) 544-6533

    Type: Mailing

  • 1932 ALCOA HWY

    BLDG C SUITE 255

    KNOXVILLE, TN 379201527

    Phone: (865) 524-1869

    Fax: (865) 544-6533

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37920)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002888716View full group profile
NameSpecialtyState
Interventional Pain Management, Pain ManagementTN
-TN
Physician AssistantTN
Physician AssistantTN
N E U R O S U R G E R YTN
Physician AssistantTN
Nurse PractitionerMD
-TN
N E U R O S U R G E R YTN
Physician AssistantTN

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1235406158 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Knoxville, Tennessee; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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