DR. KHAIRUNNISSA JOOMA DNP/PMHNP-BC/LPC
NPI 1639102791
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Q: What is Khairunnissa Jooma's NPI number?

The NPI number for Khairunnissa Jooma is 1639102791. It was assigned to this individual provider in the NPPES registry on July 9, 2006. The provider is also known as Khairunnissa Jooma Dnp/Pmhnp-Bc/Lpc.

Q: What is Khairunnissa Jooma's specialty?

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

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment

9041 EXECUTIVE PARK DR STE 275B, KNOXVILLE, TN 37923(865) 338-5384(865) 338-5383 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Dec 6, 2019, Jul 31, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Khairunnissa Jooma Dnp/pmhnp-bc/lpc NPPES

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

DR. KHAIRUNNISSA JOOMA DNP/PMHNP-BC/LPC (NPI 1639102791) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (APN0000013348) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639102791

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. KHAIRUNNISSA JOOMACredential: DNP/PMHNP-BC/LPC

Location Address9041 EXECUTIVE PARK DR STE 275BKnoxville, TN 37923-4621

Mailing Address91 Harbor Pointe WayKnoxville, TN 37922-5154 · (865) 684-0900

Phone(865) 338-5384

Fax(865) 338-5383

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 9, 2006

Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1639102791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · APN0000013348

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC 1953 (TN)

9041 EXECUTIVE PARK DR STE 275B, Knoxville, TN 37923

Open in Google Maps ↗

Other Names 1

Professional Name (2)Khairunnissa Jooma Dnp/pmhnp-bc/lpc

Other Identifiers 2

Medicaid5441854TN

OtherP00967911TN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Khairunnissa Jooma Dnp/pmhnp-bc/lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173675741

PECOS Enrollment IDI20090710000603

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 17

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

BROOKE MORRELL LCSW

Social Worker (Clinical)