TIFFANY BEASON CHITTUM (NPI# 1407289556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407289556 |
| Entity Type | Individual |
| Full Name | TIFFANY BEASON CHITTUM |
| Credential | NP |
| Practice Address |
4600 Asheville Hwy Knoxville TN 37914-3665 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
| Practice Telephone | 8655228114 |
| Practice Fax Number | 8665506541 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 17821 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17821 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q001577 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1115 Blanton Dr, Sevierville, TN 378625050 | 8654534434 | 8654283508 |
| Street Address |
4600 ASHEVILLE HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37914-3665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760585335 | Quynh Vu Wisniewski | Pediatrics | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2006-09-07 |
| 1487167656 | Kendall Evone Memory | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2017-11-10 |
| 1477981868 | Kayla Elaine Crye | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2013-10-22 |
| 1548466220 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2007-06-21 |
| 1316040926 | Jimmy Clarke Kimball | Pediatrics | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
| 1487079513 | E and K Taxi | Taxi | 1423 Fifth Ave, Knoxville, TN 37914 | 2014-02-26 |
| 1154768836 | G Way Transit | Non-emergency Medical Transport (VAN) | 513 Carta Rd., Knoxville, TN 37914 | 2013-06-04 |
| 1346511581 | Carroll W Mcginnis | Family Medicine | 9108 Brownlow Newman Ln., Knoxville, TN 37914 | 2012-01-19 |
| 1912212879 | Scarlett Marie Mynatt | Registered Nurse | 7051 Straw Plains Pike, Knoxville, TN 37914 | 2010-08-16 |
| 1356570964 | Steven Dwight Shults | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Knoxville, TN 37914 | 2009-07-06 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1639600521 | Dana Leann Byrge | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Nhc, Knoxville, TN 37914 | 2017-03-23 |
| 1861703316 | Narendra R Patel | Pharmacist | 4423 Asheville Hwy, Knoxville, TN 37914 | 2010-06-30 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| Find all providers in zip 37914 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.