DEREK RISEDEN (NPI# 1508171372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508171372 |
| Entity Type | Individual |
| Full Name | DEREK RISEDEN |
| Credential | FNP-BC, NP-C |
| Practice Address |
1431 Centerpoint Blvd Ste 100 Knoxville TN 37932-1984 |
| Mailing Address |
2519 Wild Fern Ln Knoxville TN 37931-3360 |
| Practice Telephone | 8659857000 |
| Mailing Telephone | 8657055877 |
| Mailing Fax Number | 8655457957 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15117 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1431 CENTERPOINT BLVD STE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37932-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824016 | Jack Crowley Clark Sr. | Radiology | 1431 Centerpoint Blvd, Teamhealth Radiology Ste 100, Knoxville, TN 37932-1984 | 2006-01-03 |
| 1750790507 | Anna Logan | Anesthesiologist Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2014-08-06 |
| 1386051068 | Sara Pence | Nurse Practitioner | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2014-07-15 |
| 1659795052 | Physician Services of Kentucky, P.s.c. | Family Medicine | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1983 | 2014-02-06 |
| 1548684871 | Bhn Physician Services, P.s.c. | Family Medicine | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1983 | 2014-02-06 |
| 1225469042 | Gloria Jean Krass | Nurse Practitioner | 1431 Centerpoint Blvd, Ste 100, Knoxville, TN 37932-1984 | 2013-12-04 |
| 1154673085 | Brandon Brooks | Physician Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2012-10-02 |
| 1114298916 | Anthony Shane Mcraven | Emergency Medicine | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2012-01-25 |
| 1598041626 | Christopher Blake Mckinless | Emergency Medicine | 1431 Centerpoint Blvd, Knoxville, TN 37932-1984 | 2011-11-03 |
| 1891076873 | Benjamin Keith Hale | Physician Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2011-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935589 | Jazmin Lowe | Nurse Practitioner | 9711 Sherrill Blvd Ste 201, Knoxville, TN 37932 | 2018-03-13 |
| 1619498649 | Brittney Danyelle Trent | Occupational Therapist | 120 Cavette Hill Lane, Farragut, TN 37932 | 2017-06-29 |
| 1891222634 | William M. Hogan, Md, Pllc | Psychiatry & Neurology | 1432 Hickey Road, Knoxville, TN 37932 | 2017-05-11 |
| 1487006193 | Cheryl Ann Williams | Occupational Therapist | 13029 George Lovelace Lane, Knoxville, TN 37932 | 2016-07-06 |
| 1760876627 | Institute for Female Pelvic Medicine,pllc | Urology | 10133 Sherrill Blvd Suite 100, Century Park, Knoxville, TN 37932 | 2015-03-27 |
| 1669877965 | Melissa Raymond | Nurse Practitioner | 550 Frank Gardner Lane, Knoxville, TN 37932 | 2014-10-29 |
| 1811186059 | Mia J Guillory | Optometrist | 10841 Hardin Valley Rd, Knoxville, TN 37932 | 2007-10-23 |
| 1427264555 | Amy Hill Shugart | Physical Therapist | 10710 Murdock Dr Ste 102, Knoxville, TN 37932 | 2007-05-15 |
| 1871626895 | East Tennessee Emg, Inc. | Physical Therapist | 614 Mabry Hood Road, Suite #301, Knoxville, TN 37932 | 2007-03-13 |
| 1083773584 | Summit View Health Management, Inc. | Durable Medical Equipment & Medical Supplies | 10805 Harding Dr., Knoxville, TN 37932 | 2006-12-08 |
| Find all providers in zip 37932 | ||||
| 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.