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EDA KICKI N.P.
NPI 1629527833
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since September 28, 2016
3720 N BROADWAY ST, KNOXVILLE, TN 37917(865) 315-8353(865) 314-8364 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eda Kicki N.p. NPPES

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

EDA KICKI N.P. (NPI 1629527833) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (0000021275) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1629527833
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDA KICKICredential: N.P.
Location Address3720 N BROADWAY STKnoxville, TN 37917-3120
Mailing Address3720 N Broadway StKnoxville, TN 37917-3120 · (865) 315-8353 · Fax (865) 314-8364
Phone(865) 315-8353
Fax(865) 314-8364
Sole ProprietorYes
Enumeration DateSeptember 28, 2016
✔ NPI 1629527833 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
License✔ Licensed in TN · 0000021275
3720 N BROADWAY ST, Knoxville, TN 37917
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Other Providers at the Same Location NPPES 4

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

AARON BRETT CLARK LPC-MHSP
Counselor (Professional)
3720 N BROADWAY ST
KNOXVILLE, TN 37917
Knox County (423) 742-5247
LIVINGSTON FAMILY SERVICES
Registered Nurse (Psychiatric/Mental Health)
3720 N BROADWAY ST
KNOXVILLE, TN 37917
Knox County (865) 315-8353
JESSICA L LIVINGSTON MSN, APRN
Nurse Practitioner (Psychiatric/Mental Health)
3720 N BROADWAY ST
KNOXVILLE, TN 37917
Knox County (865) 315-8353
JESSICA LIVINGSTON MSN APRN
Clinic/Center (Mental Health (Including Community Mental Health Center))
3720 N BROADWAY ST
KNOXVILLE, TN 37917
Knox County (865) 315-8353

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 Eda Kicki's NPI number?

The NPI number for Eda Kicki is 1629527833. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Eda Kicki located?

Eda Kicki practices at 3720 N Broadway St, Knoxville, TN 37917. The listed phone number is (865) 315-8353.

What is Eda Kicki'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 Eda Kicki was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.