Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keaton Cupp, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376231084

Keaton Cupp, PMHNP-BC is a Nurse Practitioner in Knoxville, Tennessee. Qualified in 2023, 3 years ago. Practices with Mj Mental Health, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4611 Asheville Hwy
Knoxville, TN 37914-3615
Phone: (865) 246-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 35647 (TN)

Record details

NPI number1376231084
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESFebruary 15, 2024
Certification dateJanuary 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mj Mental Health, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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