MEDICARE: MELISSA MARIE MCCARTER APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	1202654	TN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	12041	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356305106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARIE MCCARTER APN

Provider Business Mailing Address
First Line	:	6906 KINGSTON PIKE STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5704
Country	:	US
Telephone Number	:	865-558-4044
Fax Number	:	865-558-6990

Provider Business Practice Location Address
First Line	:	6906 KINGSTON PIKE
Second Line	:	SUITE 200
City	:	KNOXVILLE
State	:	TN
Zip	:	37919
Country	:	US
Telephone Number	:	865-588-4044
Fax Number	:	865-588-6990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	01/12/2026

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