FOUNTAIN OF YOUTH MEDICAL LLC
NPI 1396216339
Nurse Practitioner in Knoxville, TN

Q: What is Fountain Of Youth Medical LLC's NPI number?

The NPI number for Fountain Of Youth Medical LLC is 1396216339. It was assigned to this organization in the NPPES registry on December 17, 2018.

Q: What is Fountain Of Youth Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 17, 2018

135 LOVELL RD, KNOXVILLE, TN 37934(865) 392-1400(865) 392-1402 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2019, Dec 17, 2018 (2 updates tracked since 2018).

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About Fountain Of Youth Medical Llc NPPES

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

FOUNTAIN OF YOUTH MEDICAL LLC (NPI 1396216339) is a healthcare organization registered as a nurse practitioner in Knoxville, Tennessee and active in the NPI registry since December 2018. The organization lists Geneva Lynne Worthington, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1396216339

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameFOUNTAIN OF YOUTH MEDICAL LLC

Location Address135 LOVELL RDKnoxville, TN 37934-1904

Mailing Address135 Lovell RdKnoxville, TN 37934-1904 · (865) 392-1500 · Fax (865) 392-1402

Phone(865) 392-1400

Fax(865) 392-1402

Organization SubpartNo

Authorized OfficialGeneva Lynne WorthingtonFnp-c · (865) 392-1500

Enumeration DateDecember 17, 2018

Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration

✔ NPI 1396216339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

135 LOVELL RD, Knoxville, TN 37934

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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

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

GENEVA LYNNE WORTHINGTON NURSE PRACTITIONER

Family Medicine

135 LOVELL RD
KNOXVILLE, TN 37934

Knox County (865) 392-1500

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 Fountain Of Youth Medical LLC's NPI number?

The NPI number for Fountain Of Youth Medical LLC is 1396216339. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Fountain Of Youth Medical LLC located?

Fountain Of Youth Medical LLC is located at 135 Lovell Rd, Knoxville, TN 37934. The listed phone number is (865) 392-1400.

What is Fountain Of Youth Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Youth Medical LLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.