Healthcare Provider Details

I. General information

NPI: 1053268094
Provider Name (Legal Business Name): NATHAN KNAPPIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SOMERVILLE AVE STE 154
CHATTANOOGA TN
37405-3347
US

IV. Provider business mailing address

110 SOMERVILLE AVE STE 154
CHATTANOOGA TN
37405-3347
US

V. Phone/Fax

Practice location:
  • Phone: 423-414-4916
  • Fax: 423-205-3122
Mailing address:
  • Phone: 423-414-4916
  • Fax: 423-205-3122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number41435
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: