Look up the most recent NPI and PECOS records

Amy Loop

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1915 White Ave, Knoxville, TN 37916-2300

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Loop is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1235523572
Provider Type
Individual
Full Name
Loop, Amy
Credential
F.N.P.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/25/2015
Last Updated
8/25/2020

Contact Information

Practice Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 541-1720

(865) 541-1747

Mailing Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 541-1720

(865) 541-1747

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 18770 Tennessee

Provider Identifiers

ID	Description	Issuer
ID Q018158	Description Medicaid	Issuer Unlisted Tennessee

Amy Loop

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Salem, Randa Khalid

Davis, Amy D

Heidel, Wendy D

Gardner, Aimee

Harvey, Sarah A

Huang, Jiajia

Haynes, Christy

Yopp, Lisa B.

Williams, Alkiva Nicole

Burnette, Kristin