Fountain of Youth Medical LLC
NPI 1396216339ActiveOrganization· Nurse Practitioner· Knoxville, TN
Nurse Practitioner in Knoxville, Tennessee, registered in NPPES in December 2018. The authorized official on file is Geneva Lynne Worthington, FNP-C, Fnp-C.
Overview
| NPI | 1396216339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2018 |
| Last updated in NPPES | Mar 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner providers in Knoxville
- 1922930866
- 1093907370
- 1063897627
- 1427872290
- 1467774331
- 1861219834
- 1447063805
- 1366847006
- 1891333191
- 1154726586
- 1235645516
- 1225586878