Unknown Individual – Nurse Practitioner, NPI 1336294016

Unknown Individual is a healthcare provider. based in Knoxville, Tennessee. specializing in Nurse Practitioner. They hold a License No. RN0000153775 (TN). The NPI Number for Unknown Individual is 1336294016

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336294016
Phone
(865) 357-8861
Address
8861 KINGSTON PIKE
Deactivation Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656873313
Graduation Year
1994 (32 years ago)
PAC ID
8820186638
Group Practice PAC ID
6204006349
Professional Enrollment ID
I20080919000383
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Loading map...

Provider Addresses for Unknown Individual

  • Elite Tattoo, 8861, Kingston Pike, Ten Mile, Knoxville, Knox County, East Tennessee, Tennessee, 37923, United States

    KNOXVILLE, TN 379235002

    Phone: (865) 357-8861

    Fax: (865) 357-8866

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Boston Scientific Corporation ($43).

Total Amount

$43

General + Research + Ownership

Payments

1

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 37923)

Loading plans...

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: 6204006349View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1336294016 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Knoxville, Tennessee for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

Baum Drive, Bearden, Knoxville, Knox County, Tennessee, 37919, United States
NPI: 1659373710

MELISSA A ROBBINS (FNP)

Nurse Practitioner
Baum Drive, Bearden, Knoxville, Knox County, Tennessee, 37919, United States
NPI: 1184628612

TRICIA W UNDERWOOD (N.P.)

Family Nurse Practitioner
Park West Boulevard, Knoxville, Knox County, Tennessee, United States
NPI: 1285639369

JOYCE ANN WRIGHT (FNP)

Nurse Practitioner
199 POTTERTOWN RD
NPI: 1043217532

AMANDA NELL LENTZ (FNP)

Nurse Practitioner
1275 DICK LONAS RD UNIT 101
NPI: 1487652764
6350 W A J HWY
NPI: 1841298049

MARY C RUSSELL (APRN)

Family Nurse Practitioner
U T Department of Agriculture, 2407, River Drive, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States
NPI: 1447258652

PENELOPE LYNN NEAL (CPNP)

Nurse Practitioner
Howard Baker Jr. Blvd.@Knoxville Police Dept. Wb, Howard Baker Jr. Avenue, Knoxville, Knox County, Tennessee, 37915, United States
NPI: 1730187956