1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Clinical Nurse Specialist
  6. NPI Profile

ICP TENNESSEE, LLC
NPI 1205247699
Clinical Nurse Specialist in Knoxville, TN

Active since May 19, 2014
200 PROSPERITY PLACE, KNOXVILLE, TN 37923(855) 498-6767(479) 968-1673 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2021, Jun 13, 2019 (2 updates tracked since 2019).

About Icp Tennessee, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICP TENNESSEE, LLC (NPI 1205247699) is a healthcare organization registered as a clinical nurse specialist in Knoxville, Tennessee and active in the NPI registry since May 2014. The organization maintains a secondary practice location in Memphis and lists Rodney Thomason, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1205247699
Entity TypeOrganization
Primary Taxonomy364S00000X
Legal Business NameICP TENNESSEE, LLC
Location Address200 PROSPERITY PLACEKnoxville, TN 37923
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (855) 498-6767
Phone(855) 498-6767
Fax(479) 968-1673
Organization SubpartNo
Authorized OfficialRodney ThomasonAuthorized Official · (855) 498-6767
Enumeration DateMay 19, 2014
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1205247699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
200 PROSPERITY PLACE, Knoxville, TN 37923
Open in Google Maps ↗

Secondary Practice Location 1

Location 1746 Crossover LnMemphis, TN 38117-4905 · Phone (855) 498-6767

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ELYSE SMITH MA, BCBA, LBA
Behavior Analyst
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (865) 722-1585
ADALYN LYAN KAMINSKI
Behavior Technician
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (185) 583-2672
AYRIAS PETITT
Behavior Technician
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (855) 832-6727
ALEXIS FORD MA, BCBA
Behavior Analyst
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (270) 875-1599
ELIZABETH ANN NORWOOD
Behavior Analyst
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (855) 832-6727
EMANUEL OLIVA
Behavior Technician
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (877) 845-4014
LINDSAY MOORE
Behavior Analyst
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (931) 644-5556
NICHOLE MARIE SHREVE BCBA
Behavior Analyst
200 PROSPERITY PLACE
KNOXVILLE, TN 37923
Knox County (855) 832-6727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icp Tennessee, LLC's NPI number?

The NPI number for Icp Tennessee, LLC is 1205247699. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Icp Tennessee, LLC located?

Icp Tennessee, LLC is located at 200 Prosperity Place, Knoxville, TN 37923. The listed phone number is (855) 498-6767.

What is Icp Tennessee, LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Icp Tennessee, LLC was last updated on May 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.