KENDALL EVONE MEMORY (NPI# 1487167656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487167656 |
| Entity Type | Individual |
| Full Name | KENDALL EVONE MEMORY |
| 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 | 8655221161 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 23375 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
23375 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
23375 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q033936 | 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 |
| 1477981868 | Kayla Elaine Crye | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2013-10-22 |
| 1407289556 | Tiffany Beason Chittum | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2013-08-13 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437523149 | Marissa Grace Warwar | Nurse Practitioner | 2018 Clinch Ave Fl Tower2, Knoxville, TN 37916-2301 | 2015-11-18 |
| 1265803514 | Fauzia Khalid | Nurse Practitioner | 1439 Charlottesville Blvd, Knoxville, TN 37922-6658 | 2015-10-13 |
| 1326377177 | Lori R Hestand | Nurse Practitioner | 9220 Park West Blvd Ste 1, Knoxville, TN 37923-4405 | 2009-12-08 |
| 1205065984 | Sarah Lyttle Jones | Nurse Practitioner | 2072 Lakeside Centre Way, Knoxville, TN 37922-6591 | 2009-07-02 |
| 1508998246 | Cathy Kimball | Nurse Practitioner | 9724 Kingston Pike Ste 1005, Knoxville, TN 37922-6906 | 2007-03-09 |
| 1295822997 | Lawrie Nicholson Treakle | Nurse Practitioner | 2100 W. Clinch Ave Ste 120, Knoxville, TN 37916-2219 | 2006-10-06 |
| 1518060136 | Josephine Swann Nodell | Nurse Practitioner | 4529 Asheville Hwy, Knoxville, TN 37914-3607 | 2006-09-07 |
| 1770548000 | Gail Clift | Nurse Practitioner | 6305 Lonas Dr Ste 101, Knoxville, TN 37909-2732 | 2006-04-19 |
| 1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
| 1720581390 | Melissa Ann Guzman | Nurse Practitioner | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2018-03-09 |
| 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.