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VIVID PATH LLC
NPI 1356136501
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since April 10, 2025
9050 EXECUTIVE PARK DR STE 109A, KNOXVILLE, TN 37923(865) 217-6080 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivid Path Llc NPPES

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

VIVID PATH LLC (NPI 1356136501) is a healthcare organization registered as a psychiatric/mental health in Knoxville, Tennessee and active in the NPI registry since April 2025. The organization lists Amber Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1356136501
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVIVID PATH LLC
Location Address9050 EXECUTIVE PARK DR STE 109AKnoxville, TN 37923-4669
Mailing Address9050 Executive Park Dr Ste 109aKnoxville, TN 37923-4669 · (865) 217-6080
Phone(865) 217-6080
Organization SubpartNo
Authorized OfficialAmber JordanOwner · (865) 217-6080
Enumeration DateApril 10, 2025
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1356136501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
9050 EXECUTIVE PARK DR STE 109A, Knoxville, TN 37923
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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 3

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

KNOX NEURO PLLC
Clinical Neuropsychologist
9050 EXECUTIVE PARK DR STE 109A
KNOXVILLE, TN 37923
Knox County (865) 229-3788
AMBER JORDAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
9050 EXECUTIVE PARK DR STE 109A
KNOXVILLE, TN 37923
Knox County (865) 371-4237
LILLIAN WINEBARGER
Counselor (Mental Health)
9050 EXECUTIVE PARK DR STE 109A
KNOXVILLE, TN 37923
Knox County (615) 709-2341

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 Vivid Path LLC's NPI number?

The NPI number for Vivid Path LLC is 1356136501. It was assigned to this organization in the NPPES registry on April 10, 2025.

Where is Vivid Path LLC located?

Vivid Path LLC is located at 9050 Executive Park Dr Ste 109A, Knoxville, TN 37923. The listed phone number is (865) 217-6080.

What is Vivid Path LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Vivid Path LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.